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PWLIC iFALTH iIRVICES, SAN JOk4UiN COViTY <br /> 16001 E. Haze#ton Ave.; P. } <br /> Stockton, CA i5 <br /> ' (201 ) 4GB-3425 <br /> Jogi Khania, M.D., Health Officer <br /> GOUB80 <br /> GOLD BK BUILDING PRO UCTS GOLD BGND BUILDING PRtUTS <br /> 300 W. CNURCH ST. 800 W. CKKH ST. <br /> ST00JON, CA 95203 STWON, CA 95203 <br /> Billing Statement For 19wu Permit, Underground Tank Facility. \ <br /> Statement Date , Jaruary 2, 19% <br /> Payment Due Date; February 2, 1990 <br /> Facility Fee; 100.00 <br /> - Container 0001_ -10.07 . - - - - <br /> (Ky),) 50.00 <br /> OW)3 50.00 <br /> TOTAL FEES DUE 8250.00 <br /> PAYMENT <br /> RECEIVED <br /> Notify Public Health Services, <br /> I I N 16 1990 <br /> San Joaquin County of any SAN JOAQU;N CCLINTy <br /> PUBLIC HEALTHiCEg <br /> cornet#ions cr ctwnges ENVIRONMENTAL HEALTH Uii1SI0N <br /> necessary. Your permit will <br /> be mailed upon receipt of <br /> pay0eant and approval of <br /> facility. <br /> Return payment aloN with one <br /> COPY of this statement to: <br /> Pi.IB_IC HEALTH SERVICES <br /> SAN JCWQUIN %GAMY <br /> ENVIRWENIAL HEALTH PERMIT/SERVICES <br /> P.D. BOX 2003 <br /> STOCKTON, CA 95201 J <br /> Penalties will be added after \I ICA due date as shown: <br /> 4 days 100% of Base <br /> 7�CKyON,_- pppS LISTING No. _^ <br /> lT/VOICE INVOiCr. - - <br /> N . . __. DA <br /> TE_ <br /> T'.iPICE� _ <br /> -_LR ".EKI "" APPROVAL PAY -- <br /> U A ANAL OAT .'.:_= <br /> NET GUANWO <br /> I - <br /> I <br />