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lmol„ <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. Hazelton Ave. , P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> • CKEDI80 <br /> - CARL KARCHER ENTERPRISES, INC. • CKE DISTRIBUTION CENTER <br /> 800 MELLON AVE • 800 MELLON AVE . <br /> MANTECA, CA 95336 PlANTECA, CA 95336 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: March 15, 1987 <br /> Due: Anri1 15, 19 <br /> Facility $ 100 <br /> Container N `Status <br /> 1 A 50 <br /> 2 A <br /> PAYMENT <br /> RECEIVED <br /> MAY A 1987 <br /> State surcharges @ $56 per tank x ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> Subtotal of permit fees: $200 <br /> Additional Billings or Credits <br /> $ <br /> TOTAL FEES DUE: $200'00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> after due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> A - Active P. 0. Box 2009, Stockton, CA 95201 <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br />