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n <br />KINGDOM PROPEAT MS <br />' C/O AN TDAgU N Ali; <br /> <br /> <br />SAN J614 <br />BIL ING STAT T <br />.UNDERGROUND ST13PAGF. TAWS <br />Facility Ltcat.iont 1214:8 N DE VRIES RD LODI A <br />J :u <br />�3 <br />_r <br />aiIIirt� for I3% fees for permit. to operate- an <br />Facility. <br />^ <br />t. t:e:Hent Date; MARCH 23,19190 <br />� <br />Faye.wni Due Dade, APRIL �413, 1990 <br />Facility Fees;* 1"0 <br />100. Cru <br />Con'tainer. Fees <br />Tari} -1, oix) $ .OSS <br />Tani: 0002 NSA <br />s <br />Tank. C007L ' N/A <br />State Surcharge <br />_ <br />Fees! <br />'Tank 0001 $56,00 <br />]'ai,k 0002 NJA <br />- 1 at:al amount Of fees duel ----------- <br />------ --$206.00 <br />$206_. 00 <br />rr <br />If You haveany than es or tgr:reCtiens <br />' <br />please call our office when stat.efftent, <br />is received.. (209) 468-342.5 <br />iJ <br />Penalty's will. be added•ofter the due <br />data as ai5oWn , <br />30 -+days at. 100% of base fee. <br />� <br />Please remit with payment, one Copy <br />' of this s stagy t•ement ' tv : <br />FSt BLIC HEALTH SERVICES SAN JOAQUIN CCAMTY <br />' <br />ENVIRONMENTAL HEALTH DIVISION <br />1601 E HAZh:LT3N AWESUCKTON, <br />: <br />CA <br />ri <br />