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PUBLIC HEALTH SERVICES, SAN jOAQUIN COUNTY <br /> 444 N. San Joaquin Street (NOT A MAILING ADDRESS) <br /> P.O. Box 2009 <br /> Stockton, CA 9S20i <br /> 4— 34 7 <br /> (2%) W-M <br /> jogi Khanna, M.D. , Health officer <br /> I <br /> KIL <br /> T 12 <br /> TIKI LAGUN RESORT AND MARINA <br /> HORST HANF 1298S W. ,IC DONALD RD. <br /> 12988 W. MC DONALD RD. STOCKTON, CA 0206 <br /> STOCKTON, CA 9S206 <br /> Billing statemen4 oo--r992 1Permit, Underground Tank Facility , - <br /> F - <br /> Statement Date I January 10, 092 <br /> payment Due >W; February 10, 1952 <br /> peow; 226.00- <br /> Previous Balance 56.00 <br /> State surcharge 000i <br /> Container lee 0001 17A 00; <br /> 0001 1700-1� <br /> ---------- <br /> TOTAL FEE!---' DUE $170.00 <br /> NOTE'S; <br /> Notify Public Health Services! <br /> San joaquin County of any AY&jEjqT <br /> corrections or chang% RPECLCIVE r) <br /> necessary . Your Permit will FEB 0 6 1992 <br /> be mailed Won Pace'" of SAN JOAQUtN COUNTY <br /> payment and apx0val of PUBLIC HEALTH <br /> ENVIRONMENTAL <br /> SEROCES <br /> facilitRONME <br /> y . NTAI HEALTH D1VtSj0jV <br /> Return Payment along with one <br /> copy of this statement to; <br /> PUBLIC HEALTH SERYICES <br /> SAN JOAQUIN COUNTY <br /> LTH PERm 1WERVICE�--; <br /> ENVIRONMENTAL HEA . 5 <br /> pj, BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown; <br /> 20 days - 100% of Base Fee <br />