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z ''U80e HEALTH SERVICE, USAN JQOVUIN COUNTY <br /> I , 445 td. Sari Joaquin s. <br /> ��aui)i 'Street CN)7i' r'ti MAILIP;ti ADDRESS) I <br /> Stockton, CA 95241 <br /> (209) 468-342/ <br /> Jogi Khanna, M.D. , Health Officer <br /> j <br /> <br /> <br /> <br /> <br /> <br /> STOCKTON, CA 'JS207 <br /> I <br /> 6211in4 Statement For 19911 Permit; Underground Tank Facility. <br /> Statement, bate January_ 11 1993 <br /> �aygfent Due br; uary l , 199" <br /> D„te <br /> _ e_� ; I <br /> Container fee 0002 17C.'00 <br /> TOTAL FEES DUE T $170.00 <br /> NO i TES: <br /> Notify Public Health Services, i <br /> ':an Joaquin County of any <br /> r_orrections or changes <br /> f necessary . Your permit will <br /> be trailed upon receipt of <br /> payment. and approval of <br /> facility . <br /> I <br /> j Return payment along with one PAYMENT <br /> L _copy._af. -this .stattmen#,._ta:.____ RECEIVED <br /> PUBLIC HEALTH SERVICES FEB 19 1993 <br /> '_AN J13AQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES SAN JOAQUIN COUNTY <br /> P.G. BOX 2009 PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> I" STOC:KTON, CA 95201 <br /> I _ <br /> Penalties will be added atter <br /> due date as shown; <br /> I ( <br /> 30 days - 100% of Base Fee <br /> i <br /> I <br />