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PUBLIC HEALTH SEF" ' T CES <br />San Joaquin coyy <br />Jogi Khanna M.D., P.H. <br />Health officer <br />1501 E Hazelton Ave (P. 0. Bax:rvey:r Stockton, CA 95201 <br />ENVIRONMENTAL HEALTH DIVISION <br />(209) 458 3427 <br />KINGDOM PROPERTIES <br />C:/Cr 'SAN JOAQUIN AIR <br /> <br /> <br />SAiVJO 14 <br />BILLING STATEMENT - <br />UNDERGROUND STORAGE TANKS <br />Facility Location: 12145 N DE VRIES RD LODI,C:A <br />Frilling for 1990 fees for permit to operate an Underground <br />Facility. <br />St.at.ement. Date: MARCH 23, 1990 <br />Payment Due Date: APRIL 23, 1990 <br />Facility Fees:$ 1990 <br />$100.00 <br />Container Fees: <br />Tank: <br />0001 <br />$50.00 <br />Tank <br />0002 <br />N/A <br />Tan}: <br />OOCK3 <br />N/A <br />State <br />Surcharge <br />Fees: <br />Tank <br />0001 <br />$55.00 <br />Tan: <br />0002 <br />N/A <br />Total amount of fees due: <br />$205.00 <br />If you have any changes or corrections PAYMENT <br />Please call our office when statement RECEIVED <br />is received. (209) 456-34'25 <br />Penalty's will be added after the due MAY 0 2 1989 <br />date as shown: <br />SAN JOAQUINCOUNTY <br />30 - days at 100% of base fee. PUBLIC HEALTH SERVICES <br />Please remit with payment one copy ENVIRONMENTAL HEALTHDIVISK)V <br />of this st.at.ement. to: <br />PUBLIC HEALTH SERVICES SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />1501 E HA`ELTON AVE <br />STOCKTON, CA 96205 <br />Tar <br />