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KKIC HELTH Kkel, M JOAQUIN CUM • <br /> 1601 E. Hazelton Ave., P.O. Box M <br /> Stockton, GA 95201 <br /> (209) 463-3425 <br /> Jogi Khanna, N.D., Health Officer <br /> HOLTP40 <br /> ST JOSM S f&I T AL AL <br /> 18M N CALUMNIA - 000 0fi 141.8 HEMS <br /> STOCt� m, CA 95206 S <br /> Vu —W <br /> SiIIing atat.ennt For '99.90 Permit, Underground Tank Facility. <br /> S+aterent Date ; January 2, IM , <br /> Payr*nt Due Date: February 2, 1990 <br /> Facility Fee: 144.44 <br /> TOTAL FEES DtbE 10tn.44 <br /> MTES:' <br /> Notify Mlic 'Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> to tailed upon receipt of <br /> payrent, and approval of <br /> facility. <br /> Return payrent along with one <br /> copy of this st.atemenst to: <br /> MERL1C KALTH SERVICES <br /> . ., SAI JQAlt4JIN Ct7UWY <br /> GWIRGIN'I'ENTAL KUM PERMIT/O.VICES <br /> P.G. l�Y 2049 <br /> ST crox#, CA 95201 <br /> Penalties will be added after <br /> due date as shown, ` <br /> 30 days - 100% of Base Fee <br /> • r <br /> w <br />