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i' <br /> A. y rt` PUBLIC HEALTH SE�_�ES, SAN JOM(UIN CUTY <br /> APT 1601 E. HazeltM Ave., P.D. Box 2005 \"'t <br /> Stockton, CA 55201 <br /> (205) 663-3825 <br /> Jogi Khanna, M.D., Health officer <br /> MANOK89 <br /> Mtn <br /> 8%0 Y WALNUT GRiNE RD <br /> THORNTON, CA 55636 TON, CA 55b b <br /> Billing Statement For 1550 Perma,,Underground Tank Facility. <br /> Statement Date i January 2, 15:K) <br /> Payment Due Date; February 2, i550 <br /> Facility Fee: 100.00 <br /> Container Number; 0001 50.00 <br /> 0002 50.fyJ <br /> 0003 50.00 <br /> TOTAL FEES O(6: Q9J.00 <br /> NOTES. <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> be wailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to. <br /> PUBLIC HEA TH SERVICES <br /> SAN JOAQUTN COUNTY <br /> ENVIRMOTAL HEALTH FERMIT/SERVICES <br /> P.O. BOX 200 <br /> STOCKTON, CO. 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 30 days - 100% of Base Fee I <br />