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r <br /> -'AN 1OAQUIN LOCAL HEALTH FTRIC-f <br /> 1 t Haze I ton Ave. , P .O . r: 20(6 <br /> : <br /> X2: 1::{.,_,c l::t.r,it, Ca . 'a... t? <br /> Jo9i Khanna, M .U. , Health Officer <br /> Ripon Unified School District <br /> 301 N Acacia <br /> Ripon, CA 95366 <br /> RE'. , ..,1 i,_, e-r, 'i'C,lat i,.j i !"iFi �.=.0 : iii:'y „_ :_r..t anJ Ei 301 N Acacia Ripon, Ca: <br /> F€ill i r; -t. t 14EG . 148 Z...and._19EE._.,.__fe S for permit to operate: <br /> _tateulent Date May 5, 1988 <br /> Payment Due Date t June 5, 1988 <br /> Facility Fee @100.00 per year Facility Fees : 300.00 <br /> Tank Fee @ 50.00 per year per tank Container Number : <br /> Surhharge Fee 56.00 per tank yank: 00C?1 150.00 <br /> Tank. ()()('Q 150.00 <br /> funk: 0003 150.00 <br /> Tank a jo?f <br /> Surcharge Fee 1986 <br /> Tank 0001 5G.00 <br /> 0002 56.00 <br /> 0003 56.00 <br /> IF YOU HAVE ANY CHANGES OR -------------- <br /> ,k.:GRRECTIONc; PLEAc:E CALL. AUR OFFICE Total Fees Due: $918.00 <br /> IMMEDIATELY UPON REC:IEPT OF THIS <br /> I.ATEMENT . <br /> Penalty ' s will be added after the due <br /> datY As shown i : <br /> 30 days at 100% rif rJIaSE? <br /> PA Y14 <br /> RgCE Epr <br /> MAY 16 , <br />