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PUaLIC HEALTH SERV. , SAN JUAQUIN COOTY <br /> 16-01 E. Hazelton Ave., P.O. Or '2Wj ' <br /> Stockton, CA y5201 <br /> (209) 468-3425 . <br /> Jag; Khanna, M.D., Healthy Officer <br /> WATER43 <br /> WATERLOO <br /> <br /> o , ON, CA 95205 i <br /> r,tateruent For 19'G Perini t, UnderyPaund Tank Facility. <br /> 5tatc-nent Date ; January 2, 1990 <br /> Paylnert Due pate; February 2, 1990 <br /> FatiIit•y Fees 100.00 <br /> Container Number; 0001 50.00 <br /> 0003 50.00 <br /> 0004 <br /> 0005 50.00 <br /> TOTAL FEES DUE $300.00 <br /> N-'tify Public Healthy 'iwrvices, <br /> Sale Joaquin County of any <br /> C0l`rect•iori5 or changes <br /> net 5 ary. Your permit will <br /> a Iailed upon receipt of <br /> payiir�'{;t and approval of <br /> faClilt•y. <br /> oturn Paiymint along Withy one <br /> copy Cif Mi5 Stat•eiaerit to <br /> PUG"Li HEALTH SERVICES ' <br /> z JUAQUIN ColiNTY <br /> +"v':'IRUNMENTAL HEALTH PERMIT/SERVICES <br /> P.O. box 20909 <br /> '_;OCK i ON, Cit 95201 <br /> irl�alt•lcs Will tie added after <br /> +'ue dale a5 Shown; <br /> ii:;y5 - 1GU of Base Fee <br /> t <br /> I! <br /> - i <br />