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r <br /> PUBLIC HEP— -:'RVICE:,, ' AN JOAQUIN COUNTY <br /> 445 N. San Jo .lA,/Street (NOT A MAILING ADDRE%*yl1 -/ <br /> 11-P-01 :Box :0t19 <br /> Stockton, CA 95201 <br /> (209) 468-3427 <br /> Jogi Khanna, M.D. , Health Officer � <br /> JACKP40 <br /> TIME OIL COMPANY JACKPOT <br /> <br /> <br /> LODI. , CA 95240 <br /> I I <br /> Billing Statement For 199:: Permit, Underground Tank: Facility . � <br /> Statement Date January 1,._1493 <br /> Pa-vuent. Dice Date: February -T-, 1+9:'� <br /> Container fee 0001 170.00 <br /> i 0002 1 I <br /> 000:; 170.00 <br /> i <br /> I <br /> j TOTAL FEE'S DUE 8510.00 I <br /> I I <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> be mailed upon receipt of <br /> Payment and approval of <br /> facility . <br /> i I <br /> Return payment along with one <br /> I c,op,r._af=#.his statement. {,, <br /> PUBLIC HEALTH SERVICER ,a 4aR <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.U. BOX 2009 <br /> fSTOC:K:TON, CA 35201 <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee PAYMENT <br /> RECEIVED <br /> �.� DEC 2 2 1992 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISfON <br />