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r <br /> PUBLIC: HEALTH _ERV I CES <br /> SAN _ CCIACLU I N Ci TUN T ! <br /> 44.5 N . San .t,t,agirin St. , F' .0 Bx:<: 2009 <br /> Stockton, Cc. 95201. <br /> 4f-,8-():340 <br /> NIPERMCLCf <br /> NIRIVER28 <br /> Site Infnrmatian; <br /> R7VERSIDE CEMENTIMIVE SEIXA: RIVERSIDE CEMENT CO . <br /> P. O. BOX is": 2==.5 W WASHlNGTON _:T . <br /> ORO GRANDE , CA 92:3168 <br /> Services were provided fur 'v Cil_{ by the G11V 11'C:1-liiieTl l-I Health Division �r-n <br /> December 1F:, 1'w'D' f �1 _'_; r=l_MOVAL 11/25, 30' <br /> vnjaz✓ G4s [ iv� <br /> invoice Date; .T A.JhAFtY 10, TU . r,L DUE :- r •_:4 . Ui_? <br /> b3 � - . <br /> 10% Penalty will be added each <br /> 30 days past invoice 0. ai.e- <br /> F'i EA:=.c eiEF'LinT CHravGE:_% iiv THE iiciU. '44 rR 'f'I 'ia; ALONG WITH ONE COPY U <br /> SPAt:E PROVIDED BELOW WITHIN THI': STATEMENT TO ; <br /> 1S DAMS OF THE [TATE 'CO "CHI=; <br /> INVOICE . IF NOTIFICATION I'.: Put-iic Health Services, =tan ,iraquin <br /> NOT RECEIVED WITHIN THAT ' TIME {:ou my/Environrr;ental Health <br /> PERIOD, THE PAR-1Y IDENTIFIED F.L1. Box 2-009, Stockton, Ca '9.520114 <br /> ABOVE WILL BE LEGALLY RESP iN- <br /> !BLE FOR -f HIS FILL . <br /> IF THE AF:11VE BILI ING ADDRESS IS NOT T CORRECT , PLEASE INDICATE FE L OW <br /> NAME ;---------------------- -- PHONE #------------------ <br /> ADDRE--S, --- --- ---- - - ---- ------------------------- <br /> CITY STATE _ <br /> PAYMENT <br /> APPROVED FOR PAYMENT APPRUVED FOR PAYMENT RECEIVED <br /> .• DATE.1 ,. <br /> /� // JAN 2 5 1993 <br /> BY <br /> 93 BY.......- - �1"r SAN JOAQUIN COUNTY <br /> -PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISIO <br />