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F'UR,� �EALTH SERVICES, SAN JOAOUIN t •` Y <br /> 446 N. 1:3 Oaquin Street (NOT A MAILING Ai7FjRESS) <br /> P.6. cook 2009 <br /> Stockton; CA 95201 <br /> (209) 468-5427 <br /> I Jogi Khanna, M.O , Health Officer <br /> I I <br /> L I NDM <br /> SHELL OIL SERVICE. STATION BEN HOLT SHELL <br /> <br /> STOCKTON, CA 95209 <br /> I I <br /> I Billing Statement For 1991 Permit, Underground lank Facility . j <br /> I <br /> Statement Date January 7, 1991 j <br /> Payment Due [late: Febr'uar'y 7, 1991 <br /> I I <br /> atntainer fee 0001 170.00 I <br /> I <br /> I :it-di.e surcharge 0401 ',E,.:?U I <br /> Container We 0002 170= 00 <br /> State surcharge 0002 56 00 I <br /> 0003 66.00 I <br /> I Container fee 0004 170.00 I <br /> I State surcharge 0005 56.00 j <br /> Container fee 0005 170.00 1 <br /> I <br /> NOTES: TOTAL FEES DUE $904.00 <br /> I Notify Public Health Services, -- <br /> I San Joaquin County of any <br /> I corrections or ihdilge5 I <br /> necessary . Your permit. will <br /> 4e mailed upon receipt of I <br /> payment. and 'approval of <br /> I <br /> facility , I <br /> Return payment along with one I <br /> copy 5f this statement. to; <br /> PUBLIC HEALTH SERVICES j <br /> SAN J]AQUiN COUNTY <br /> , <br /> ENVIRONMENTAL HEALTH PERMIMERViCES <br /> P.O. 3t iX 2009 <br /> S T OCK I ON, CA 95201 <br /> Penalties will be added 'after <br /> Clue date as sho= <br /> i 30 days - 100% of Base Fee I <br /> I <br /> I <br /> I <br /> J I <br /> / I <br />