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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM� Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0004656 <br /> LNEEMEEMMONOMMI <br /> Facility ID FA0002590 <br /> Date Printed 5/5/2003 <br /> IMMENNINEWEEMEMIll <br /> LICENSING DEPT DC 36 RE : CIRCLE K#8671 <br /> CIRCLE K#8671 8606 THORNTON RD <br /> <br /> <br /> OWNER : CIRCLE K STORES INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0106914---Date of Invoice: 5/5/2003 3�3 <br /> 5/5/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date /4/20 <br /> TOTAL DUE this Billing Period , 200.00 <br /> A P�)Tvc Ta N <br /> SA- <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />