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PUBLIC HEALTH SERVICES, °"" IDA(IUIN COUNTY <br /> 1601 E. Ha:.eiton Ave. ,, i.0. Box 2009 <br /> Stockton, CA 95201 '� <br /> (209) 468-3425 <br /> togi Khanna, D., Ha_alth Officer RiF <br /> � D ZIVE <br /> �j e CALTR04 SA l I N .? 9 <br /> a5�0 � <br /> CAL �p�f$ PV Os <br /> R N� <br /> <br /> B ON„ CA 9f �jS�O � £,N' : H NI,F' <br /> lSlpp! <br /> Billing Statement For 1990 Permit, Underground Tank Facility. �y - <br /> Statement Date ; January 2, 1990 <br /> payment Due Date: February 2, 1990 <br /> Facility Fee; ( 100.00 <br /> Container Number[ 04 50.00 <br /> TOTAL FEES DUE i1.50.00 <br /> NOTES: �SGr Pf�I <br /> Notify Public Health Services, ------ <br /> San Joaquin County of any <br /> corrections or changes <br /> '.ordil Elul <br /> necessary. Yrajr permit will <br /> be mailed upon receipt of rn.j1 ,anVli c <br /> payment and approval of t„• „,"';; :,:,,,.%<> ` qtt� <br /> facility. <br /> Return payment along with one <br /> copy of this statement. to: <br /> PUBLIC HEALTH SERVICES \,�'D CNt'� <br /> ENVISAN RRmTAL HEALTH PERMITISERVICESP.O. BOX 2009 aq <br /> STOCI TON, CA 95201' <br /> Penalties will be added after <br /> due date as shown: <br /> 30 days - 100% of Base Fee <br />