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PUBIC HEALTH SFMI� SAN JLMIN (My <br /> 1601 E. Hazelton Ave., P.Q. Sox 2CA)9 <br /> Stockton, CA 95101 <br /> M9) 468-3425 <br /> Jogi Khanna: N.D., Health Officer <br /> W01><.S36 <br /> <br /> <br /> STOCKT(ON„ CA 95207 <br /> Billing Statement For 1990 Permit, Underground Tank Facility. <br /> Stateu*nt Date ; January 2, 133:) <br /> Payment Due Date: February 2, 1Y40 <br /> Facility Fee: 100.00 <br /> Container Number; 0002 50.00 <br /> TOTAL FEES DUE $150.00 <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or change-- <br /> necessary. <br /> hancesnecessary. Your permit will <br /> be mailed upon receipt of <br /> Payment and approval of <br /> facilit.y. <br /> Return payment along with one <br /> copy of this statement. to: <br /> PUBLIC HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.O. SOX 2003 <br /> STOC(TON, CA 35201 <br /> Penalties will tie added after <br /> due date as shown; <br /> 30 days - 100% of Base Fee <br />