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may-o/O <br /> PUBLIC F _TH SERVICE'S, SAN JOAQUIN COUN' <br /> 445 N. San .odquin Street (NUT A MAILING ADDS& <br /> P.O. Born 2009 <br /> Stockton, CA 95201 <br /> (209) 458-3427 <br /> Jogi Khanna, M.D. , Health Officer <br /> JACKP40 <br /> TIME OIL COMPANY JACKPOT <br /> <br /> LORI „ CA 45240 <br /> Billing Statement For 1991 Permit, Underground Tank Facility. <br /> Statement Date January 7, 1991 <br /> Payment. Due Date: February 7, 1991 <br /> Container fee 0001 170.00 <br /> State surcharge 0001 56.00 <br /> Container fee 0002 170.00 <br /> State surcharge 0002 56.00 <br /> Container fee 0003 170.00 <br /> State surcharge 0003 56.00 <br /> TOTAL FEES DUE 8678.00 <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. PAyA# <br /> Return payment. along with one REG EST <br /> copy of this statement to: JAN 4 1991 <br /> PUBLIC: HEALTH SERVICES PUB�C Og p�M COU <br /> SAN JOAQUIN COUNTY ENWRONQ ACHE SfR i> <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES 1 H�; ,,;' . <br /> P.O. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added -after <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br />