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Po41-1i brand <br /> FaxTransmittal Memo Ault No.of Pages TodeySDate Time <br /> TO Iry Ghen From �[/ 1 2'25-1gz— <br /> Company r n �� <br /> Company I\ <br /> Location 'tel. 4>� -t--"(V <br /> ZS6. y W . ( Urrw� R,:4- <br /> Location 1r Dept.Charge <br /> Fax# L--J(..•`J V V Telephone',# f ' Fax# ~ n LAh <br /> ��) 3(aj2t�12 (za)�!(,�! -p13� Telephone <br /> Comments Original <br /> Disposition: Destroy 11 Return Call for pickup <br /> The ba(anee of 20 is c(,ue becaA4 ;e <br /> Pe-rn-,rt in <br /> PUBLIC HEALTH SERVICES, SAN JOAQUIN COUNTY <br /> 445 N. San Joaquin Street (Nnr A MAILING ADDRESS) <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468- -1427 <br /> Jog Khanna, M.D. , Health Ifficer <br /> I <br /> MC:IIN26 <br /> MCI CORPOPATION MCI CORPORATION <br /> P.O. bOX 1761 2500 W TURNER RD <br /> RYE BROOK, NJ 10573 UJDI , CA 95240 <br /> I <br /> Ending Statement, For 1992 Permit., Underground Tank Facility. <br /> Statement. Date ; January 10, 1992 <br /> Payment" Due Date; February 10, 1992 <br /> Previous Balance20.00 <br /> Container fee 0001 170.00 <br /> TOTAL FEES DUE 5190'Oti <br /> I <br /> I <br /> NOTE,:'! <br /> Notify Public Health Services, <br /> San Jo:kquin County of any <br /> corrections r,r changes <br /> necessary . Your permit. will <br /> I be mailFd upon receipt cif <br /> I p?yment and approval of <br /> I fa.cilit•y . <br /> Return paymentalong with one ' <br /> copy of this statement to; <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> P.0. BOX 2009 <br /> TOCKTON, CA 95201 <br /> Penalties will be added after <br /> lue date as shown; <br /> ;n daY3 - 100% of Base Fee <br /> I <br />, I <br />