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FIRIC HEALTH SERVICES, SAM JOWIN COUNTY <br /> 1601 E. Hazelton Ave., P.D. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3425 <br /> Jogi Khanna, M.D., Health Officer <br /> CASTLO! <br /> DEPT OF GENERAL SERVICES CASTLE ROCK FIRE STATION <br /> <br /> ,ilb <br /> Billing Statement For !990 Permit, Underground Tank Facility. <br /> Statement Date ; January 2, 19'30 <br /> Payment Due Date; February 2, !990 <br /> Facility Fee: 100.00 <br /> Container Number; 0001 50.00 <br /> TOTAL FEET DUE S150.00 <br /> NOTES; <br /> Notify Public Health Services, <br /> San Joaqjin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> to mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along witti one <br /> copy of this statement to, <br /> PUBLIC HEALTH SERVICES <br /> SAM JOWIN COUNTY <br /> ENVIRMENTAt HEALTH PERMITiSERVICES <br /> P.O. BOX 200`.-! <br /> STOC1r,TON, CA 952011 <br /> Penalties will be added after <br /> dtLA date as stem; <br /> 30 days - ION of Base Fee <br />