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SRN JOACiUIN COUNTY II <br /> !"► IcALTh �RVICE MAILING <br /> �UE1 i� t,:.0t INUT A I <br /> f t7li ,tdS N San joa?ui, OCty, <br /> i r �+ U. Bcd l ,35'101 <br /> Stockton, CA P <br /> Health Officer Niece Afr <br /> c Jori K.t,anna, M:D. , APR I Viet) <br /> SAN R <br /> CASTLE kOCK rltt Ue <br /> s 4520 C:OkRAL H(tLLOW +�L�RONMNj��TH--UNTy <br /> V DEPT OF FORtStF:Y; CHAkLCiT'CE TRaGY , CA i$3`r' �[heA�, yD�is�•, <br /> <br /> <br /> - . <br /> I a F'errdt, Underground Tana'. Farilit.y . <br /> 1 in9 ';t.atem8ni. For 13'_1 __... <br /> .1951 <br /> March 2$, , ;:, _ _. . - <br /> Stat.emet-,t Dat A,ori'1— � 1 170.UU <br /> :—Pa7rrt tictt �;,rt.ainer iee ODU1ta -, <br /> " State surcharge__WfU - __ -- <br /> TOTAL Ftca UUr_ -------- <br /> M�1 <br /> Public Heali•h Service, <br /> NanJoof any <br /> .San 3aquin County <br /> i C'rretti Gns C, [heY�rae� <br /> neCe55ary Your permit Will <br /> be mailed upon reCeipt of <br /> payment and approvai. ut <br /> facility . <br /> �. T{eftrn paymp"t. along 101th One - <br /> r Of .i,is state:flent. <br /> pr_: <br /> c�IC HEAL-1 SERVICES <br /> SafiS.3f3A@t1tN COUNTY <br /> ENVIRONMENTAL HEALTH PERMITISFRVICE8 <br /> P.O. BOX 2009 <br /> - TOC:KTow' CA 35201 <br /> penalties ' isi be adda_d after <br /> due crate a.w , <br /> 30 days - iCutl rf 3a=_e Fee <br /> `. i <br />