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RELIC HEALTH 5 RVICES, SAM JOAQUIN COUNTY <br /> 1601 E. Hazelton Ave., P.O. Sax 2009 V ` <br /> Stockton, CA 95101 <br /> (209) 468-3425 } <br /> Jogi Khaa}na, M.D., Health Officer Recd Properties JAN 17 '90 <br /> PIEW120 <br /> P I E NATIONWIDE, INC. P I E NATIONWIDE, INC. <br /> 2007 W. WILSON WAY 2007-N. VILSONIMY <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> Billing Statement For 1990 Permit, thxerground TarFacility. <br /> 1 i ty. <br /> aEC <br /> Statement Date ; January 2, 1990sbN 1 '990 <br /> a sent Due Date; February 2, 1990 <br /> Facility Fee: 100.00 <br /> Container Number: 0001 54,00 - <br /> TOTAL FEES DIiE $150.00 <br /> OL <br /> Ce'A ty 16 the products or services <br /> TES' hereon a been RECEIVED as billed and <br /> is Inv e i her ROVED for ayment <br /> Notify Public Health Services, { <br /> San Joaquin County of any Authorized Signatwe Static <br /> correctirns or changes <br /> necessary. Your permit will PAYMENT Si Amount <br /> be mailed upon receipt of odays Date <br /> payment and approval of RECEIVED <br /> facility. FEB 0 7 1990 Expense Description <br /> SAN JOAQiJIN (t„Ji\3TV <br /> Return payment along with one PUBLIC HEALTH SI � :S <br /> copy of %is statement to, ENVIRONMENTAL,HEALTri UitrISION <br /> PUBLIC HEALTH SERVICER <br /> SAN JOR(�1N COUNTY psi is� mortify that the products ar sery ces <br /> illed and <br /> ERVIftDNNENTAL HEALTH PERiIT/SERVICER hereon tis een by PROVED,ED as bor payment <br /> P.O. BOX 2009 this Inv ' is herebyQ <br /> t I <br /> VC;Z <br /> STOCKTON, CA 95201 pan # <br /> horiz d U11110 <br /> QXdays <br /> enalties will be added after <br /> T a s Dat <br /> ue date a5 shown: <br /> :pbon <br /> - 1001 of Base Fee Expense pescr <br /> 4 � � <br />