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m PUBLIC HEALTH SEFVICES, SAN JOAOUIN COUNTY <br /> 1601 E. H�n Ave., P.O. Box 2009 • <br /> S n, CA 95201 <br /> (209) 463-3425 — <br /> Jogi Khanna, M.D., Health Officer <br /> A <br /> XMI Olt S1�S� . i� _�Q KENT OIL Jzc zivt <br /> P.O. BOX 993 a- 3 11 <br /> iO E MINER <br /> SUISUN, CA 94585 STOCKTON, CA 95205 ((+I SqN e 5 CSU <br /> CIV� US HOA ii,(\i 1V <br /> Billing Statement For 1990 Permit, Underground Tank Facility. RONMeN�A ` GNr� <br /> `n Jr ins•: <br /> Statement Date ; January 2, li'iO <br /> �.N <br /> Payment Due Date: February 2, 19''7 <br /> Facility Fee; 100.00 <br /> Container Number, 0001 50.00 <br /> TOTAL FEES DUE 4150.00 <br /> NOTES; <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> necessary. Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment along with one <br /> copy of this statement to: <br /> PUBLIC WATH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRO MML HEALTH PERMIT/SERVICES <br /> P.O. BOX 20 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown: <br /> — --�-34-days-100S-of�Base-Fee . ---= <br />