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#AN <br /> i IC HEALTH SERVICES JOAQUIN COUNTY <br /> hi . .ivy auin =,t. . , P .ii . Box 20{7S <br /> Ca 96.20 1 <br /> !.209.1 468-034-0 <br /> NIPERMCL.O <br /> NITRIPL48 <br /> Site Information: <br /> ARCHIE BAUMBACK TRIFLE TRUCK &i TRAILER <br /> 19590 N HW`i' 99 4800 WATERLOO RD <br /> ACAh}P i ; CA 95220 S"I Lu=:}:;TON, CA <br /> Services were provided for you by the Envi ror ient.I Health Division on <br /> February 10, 1993 for CL'-k1RE, IN'S;F'EC:TIONS &, FLAN REVIEW 2/18/93 <br /> Invoice Date: MARCH 15, 199 ; TOTAL DiJE ; <br /> 10% penalty will be added each <br /> 30 days Fast invoice date . <br /> PLEASE REPORT CHANGES IN THE RETURN PAYMENT ALONG WITH ONE, COPY OF <br /> '_PACE PROVIDED BELOW WITHIN THIS STATEMENT TO : <br /> 15 DAYS OF THE DATE OF THIS _ <br /> INVOICE . IF NOTIFICATION IS Public Health Services, `:an Joaquin <br /> NOT RECEIVED WITHIN THAT TIME County/Erivironmental Health <br /> PERIOD, -THE PARTY IDENTIFIED P . O. E;o: : :Ori9, ci # Ca 9.5201 <br /> ABOVE WILL BE LEGAL-LY RESPON- <br /> SIBLE FOR THIS: BILL . <br /> IF THE ABOVE BILLING ADDRESS IS' NOT CORRECT, PLEASE INDICATE BELOW; <br /> NAME ; - -_ - ---- _ - - ---- -- -- - - - --- PHONE_ #- - - - ------- <br /> ADDRE=:-; ------ <br /> ----- --- - - <br /> CITY <br /> STATE: SIF' <br /> PAYMENT <br /> RECEIVED <br /> PTIT MAR 1 9 1993 <br /> BU <br /> IN COUNTY <br /> PUBLICALK HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br />