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f Y ;ELIC HEALTHH =_ERV ICE' ; <br /> .AN JOAQUIN COUNTY <br /> 44:5 N . San Joaquin 'c;t.. , P .O . Bo:: 200'3 <br /> Stockton, is 962[)1 <br /> (.209) e..GG=I-0:340 <br /> NIPERMCI..0 <br /> N IR 1VER213 <br /> Site l)ifcrrttia.tion : <br /> RIVERSIDE CEMENT!MIk:E SEIXA'=� <br /> icIVERSIDE CEMENT Cu . <br /> P . D . E;Ctz. IS8 r 5 W WASH INGION 3..F. <br /> URD GRANDE, CA '• 3-62 <br /> "rvices were provided for you by the Environme'nt-1 Health Division on <br /> Ibcl' 1>J, 1'v'=? for tj& f FiEMOVAI_ : 1J S, :i?? t: 1�flb/9 <br /> -,write Date; JANUARY 15, 199", TOTAL. DUE : /`$2`.'.4 . 00 <br /> J% Penalty will be added each <br /> t) days past invoice date . <br /> EAZ. F;EF'CIRT CHAh4GE-1 IN THE RE-FURN PAYMENT ALCING I101TH ONE COPY CIF <br /> -'ACE PROVIDED BELOW WITHIN FHI'3 STATEMENT TU : <br /> a DAY'S CIF THE DATE OF' FH I=: <br /> NVDICE. . IF NCITIF=I(:A) IiiN IS Public Health Services, '_.an Joaquin <br /> JT RECEIVED WITHIN THAT TIME County/E)lvSronrrietltziI Health <br /> ERIDD, THE PARTY IDENTIFIED '' . U . Bro'. _009, :St.ock:t.on, Ca �!`•::Ui <br /> 3OVE WILL. BE LEGALLY RE PON- <br /> IBLE FOR THIS BILL . <br /> FI ,THE ABGVE BILLING ADDRESS I NOT CORRECT ' PLEASE I NU T CA i E hE:LC14i <br /> -- PHONE #---------------- - <br /> -__ - - ----- - - ---- <br /> ------------------ <br /> 0DRE�SSI <br /> CI1...,1 '_,1-ATE Z,1P <br /> PAYMENT <br /> RECEIVED <br /> ® � JAN 2 <br /> 1993 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION _ <br /> `.J <br />