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PUBLIC HEALTH SERVICES, SAN JOAQUIN COUNTY"" <br /> 445 N. San Joaquin Street (NOT A MAILING ADDRESS) V <br /> P.O. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 468-3427 <br /> Jogi Khanna, M.D. , Health Officer <br /> CKEDISO <br /> CKE DISTRIBUTION CENTER CKE DISTRIBUTION CENTER <br /> 000 MELLON AVENUE 800 MELL.ON, AVENUE <br /> MANTECA. CA 95336 MANTEC:A, CA . 95`6 <br /> Billing Statement- For 1992 Permit, Underground Tank Facility . <br /> Statement Date January 10, 1992 <br /> Payment Due Date: February 10, 1992 <br /> Container fee 0001 170.00 � <br /> 0002 170.00 / <br /> TOTAL FEES DUE $340.00 <br /> -- OKAY TO SAY -- <br /> TE I <br /> NOTES:: <br /> Notify Public Health Services, KENT WITHERS pq <br /> San Joaquin County of any Af C#=L1.1'�5�=o ) <br /> corrections or changes <br /> necessary . Your permit will <br /> be mailed upon receipt of <br /> payment and approval of <br /> facility. <br /> Return payment- along with one <br /> copy of this statement to: <br /> F? ECEIVED <br /> PUBLIC HEALTH SERVICES <br /> SAN -JOAQUIN COUNTY JAN 16 1992 <br /> ENVIRONMENTAL HEALTH PERMITiSERViCES <br /> P.O. BOX 2009 ACCOUNTS p,!,,, _- <br /> STOCKTON, CA 95201 1)11 \(14 <br /> 12131q 1S7 'i <br /> Penalties will be added after <br /> due date as shown; cQ �iP <br /> d <br /> 90 days - 100% of Base M No <br /> n <br /> PAYMENT <br /> RECEIVED <br /> JAN 2 3 1992 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIV;Si�1O <br />