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PUBLIC H_ STH SERVICES, SAN _JOI'QUIN COUNT, <br /> d4S N. Man ?oaquin Str,et. (NOT A MAILING ADDRESS) ? <br /> ,P. 0 Brei.-2009. , ,.. <br /> Stockton, CA 95201 <br /> (209) 468-3427 <br /> ,io i Khanna, M.D: , Health Officer <br /> HAMME77 `I <br /> SHELL OIL CO 99 'SHELL. <br /> P.O. BOX 4023 771:0 FORELAND COURT <br /> CONC:ORDI CA 94524 STOCKTON, CA 95212 <br /> Billing St-at e(!e nt• For 1992 Permit, Underground Tank Facility . <br /> atatetiaent Date _anuary 1U, 99 <br /> Payment. Due Date, February 10, 1992 Container fee 000S 170.00 <br /> State surchaTge00$ 56.00 <br /> Container i ner fee 000 170.00 <br /> Ovral I 70,,00 <br /> TOTAL. FEES DUE $736.00 <br /> NOTES; � <br /> 4:_i <br /> 4 ot.ify Public Health Services, <br /> San Joaquin County of any <br /> corrections or changes <br /> E <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> r <br /> facility. t. ... <br /> Return payment along 4 i th one: . <br /> F <br /> copy of this statement to! <br /> PUBLIC: HEALTH SERVICES <br /> ,AN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/'SERVICES <br /> P.O. BOX 2009 <br /> STOCKTON, CA 9S201 <br /> Penalties will be added after <br /> due date as s#-,c0h: PAYMENT <br /> 30days 00% of Base Fee RECEIVE® <br /> FEB i 8 1992 <br /> t <br /> SAN JOAQUIN COUNTY <br /> F PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br />