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PUBLIC HEALTH SERVICES ,oP4U!N� CO` <br /> SAN JOAQUIN COUNTY =` y <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer .. <br /> P.O. Boz 2009 0 (1601 East Hazelton Avenue) • Stockton, California 95201 <br /> 4L%FOP��P <br /> (209)468-3400 <br /> Lewis & Mary Stallworth <br /> 1107 S. Burkett <br /> Stockton, CA. 95205 <br /> MOBIL60 <br /> BILLING STATEMENT cc OP) <br /> FOR <br /> UNDERGROUND STORAGE TANKS <br /> RE: 602 N. California St. , Stockton, CA. <br /> BILLING FOR 1991 PERMIT TO OPERATE AN UNDERGROUND TANK FACILITY: <br /> FOR PERIOD BEGINNING JANUARY 1, 1991 AND ENDING DECEMBER 31, 1991. <br /> STATEMENT DATE: March 1, 1991 <br /> DUE DATE: April 1, 1991 <br /> CONTAINER FEES: 0001 $170.00 <br /> 0002 170 . 00 <br /> 0003 170. 00 <br /> STATE SURCHARGE <br /> FEE: 0001 $ <br /> AMOUNT DUE: $510. 00 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee: <br /> NOTES: <br /> Notify Public Health Services, <br /> Sart Joaquin County of any <br /> corrections or changes. Your <br /> permit will be mailed upon <br /> receipt of payment and <br /> approval of facility. <br /> Return payment along with one <br /> copy of this statement to: <br /> Public Health Services - <br /> Environmental Health Division <br /> P.O. Box 2009 <br /> Stockton, CA. 95201 ugst.fil <br /> (209) 468-3427 <br /> `�)Mmn of San Joaquin County Health Care Services �`' <br />