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i <br /> t '--L I t: HEALTH}3 Wit'.R t._.__ OF SAN, _i A E_%i N CO <br /> 1601 E Hazelton Ave . , P .O . Box 2009 <br /> Stockton, Ca . 9S201 <br /> _i o.::=.i Khanna, &DE'f . . i . Health O: E .'t.s_ _ , <br /> (209) 468-1425 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PERMIT SERVICE.C; <br /> All <br /> 11� AUTO MART <br /> RE , _ .,d_:1"'_-i _`..:I';1 Li Tank Facility l i_ - __'i.i r_i t 2662 i`= WILSON WAY _'7 -_ . . i <br /> Satins for, �< ._-_ � {`n.- fees for Permit to operate . <br /> Statement Date SEPTEMBER 15, 13% <br /> payment i_}F je . i.y'i._ , OCTOBER 1K, a_.8._ <br /> Facility Fees ; A986 1987 1% <br /> A <br /> Tank„.. ii a-_ <br /> Tri i_'E,. t _ _ _ <br /> Tank 0004 S0 . 00 50. 00 <br /> State Surcharge <br /> Fee ; 56 . 00 <br /> 1909 TANK REMOVAL FEE Tank 0003 90 .0), <br /> _ TANK <br /> E}l.- R p_....E:7',,F FEE <br /> E jank 0004 90 . 00 <br /> if you !-eye any changes or <br /> „ <br /> office i:'iEiiii_di t.e'• y Ems(' Ei t':c i'•;' t, <br /> of this <br /> ,. i statement. <br /> _ due date e as shown: � .. <br /> 30 days at 100% of base fee', <br /> SEND ONE COPY OF THIUSTATEMENT <br /> A - THE PROPER <br /> _�_.ONEj .WITH PAYMENT SO <br /> ACCOUNT WILL BE CREDITED. <br /> �1 <br />