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� L= <br /> y . .. .r PUBLIC����*tLTH 4:ERVICE;-- SAN JOA9UIN COU <br /> 445 N. San <br /> �!'L'''aqu n Street (NOT A MAILING ADDRESS) <br /> P.O. Uox: 2009 <br /> f i Stockton,, CA 95201. <br /> i209i 468-5427 I <br /> Jon Khanna, M.N. , Health Officer <br /> . . LINOE20 I <br /> I SHE_L .OIL SERVICE STATION BEN HOLT SHELL I <br /> <br /> STOCKTON. CA 95209 <br /> I Biking 'Stateti,erit For 1991 Permit, Under•_,round panic Facility . i <br /> Cabe <br /> Pay,iie„t Due Uat•ef February 7, 1?91 <br /> I "- I <br /> Cc.rtainvr fee CICIUI 170.00 <br /> I( State surcharge 0001 56.00 <br /> Container fee 0002 1!0.00 I <br /> State surcharge 0002 56400 I <br /> 0003 Sc 00 <br /> Container fee 0004 170.00 <br /> State surcharge 0005 SE 00 <br /> Container fee 0009, 170 00 <br /> L40 TES TOTAL FEE'S WE #'304.00 I <br /> Notify public Health Services, <br /> I Gan Joaquin C-WTty. .of any <br /> I corrections or changes <br /> I' ' necessary-. yc$4r permit. wiII <br /> be mailed upon receipt of <br /> payment and approval of I <br /> facility . <br /> Ret.u', n Paymentalong with one <br /> s2,"Wifi aL".rcAy:. .. .-.,.,..:!.,.a.y»...-,......a......::-- �o.,...._.....-�..,..._..,._ _, ..... . .... ..:_; - <br /> I <br /> LAL4 <br /> SAN :OAQUIN C009 <br /> ENVIRONMENTAL HEALTH PERMiTjnERVICES I <br /> P.0. BOX 2009 ' I <br /> STOC1:TON, CA 95201 <br /> Penalties will be added after <br /> due ciat.e as shown: PAYA#E � <br /> f RECEIV O <br /> SAN FEB 19 1991 <br /> PUBLIC HEALTH SOUNTV <br /> ENVIRONMENW HEALTH p+V�sjn <br />