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RRIC HEALTHE S, �1N JOA$UIN �;:11t1i�TY <br /> 1601 E. Hazel t ve., P.O. Box 2009 <br /> . Stockton, CA 95 01 <br /> (209) 4J33-3425 ,— —., <br /> Jogi Khanna, M.D., health Officer <br /> _ SHELD33 P4 <br /> KW 01L" ' ' <br /> �-�-"� `-� —� b'.ENT OIL <br /> P.D. WX - E MINER <br /> SUIS, CA 94555 5TOCKTON, CA 95205 <br /> E4/2jkJOA <br /> /c 90 <br /> Billing atate�nt For 15% Perm t, Underground Tari Facility. TA( '�l <br /> StatE cent Date January 2, 19'30 <br /> Payment Due Date; February 2, 199 <br /> Facility Fee: 100.00 <br /> Container Nu r: 0001 50.00 <br /> TOTAL FEES DUE $150.00 <br /> SL --- <br /> NOTES: <br /> Notify Public Health Services, <br /> San Joaquin County of any <br /> Corrections or changes <br /> necessary. Your permit will <br /> be nailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return Paycsent along with one <br /> copy of this statement to: <br /> PUBLIC VEALTH S "VIC-EJ <br /> ;SAN MWIN CMTY <br /> ENVIRONYENTrLL HEALTH PERMIT/SERVICES <br /> P.D. W1 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as show. <br /> _� <br /> --3000%-of-%se-Fee <br />