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i. PQUIN �i � <br /> COUNTY OF SAN JOAQU(N ACCOUNT NUMBER <br /> Z <br /> « . OFFICE OF EMERGENCY SERVICE <br /> ROOM 610, COURTHOUSE 5824 <br /> 712 EAST WEBER AVEI4UE <br /> c'OiiFba`' P STOCKTON, CALIFORNIA 95202 <br /> BUSINESS EMERGENCY PLAN FEES FEB 1 6 1993 <br /> LlIt1SINESS NAMES BUSINESS PHONE N MISER.. <br /> DURRFLAME (AIRPORT WRY) 209-547-2699 <br /> BUSINESS CONTACT NAME <br /> JlI R. GMZALEZ <br /> ySUSINES3 ADDRESS ,_a�nu..,�t.,i _ CIN. STATE LP <br /> 2533 S RI1I WAY STOCKTON CA 95206 <br /> '11I - <br /> BUSINESS EMERGENCY PLAN TYPE: ❑ LONG FORM ❑ SHORT <br /> FORM <br /> NUMBER OF HAZARDOUS MATERIALS: 2 <br /> ,AMOUNT DUE • • <br /> $240.00 + 2 X $ 15.00 � _ $270.00 <br /> FEE NUMBER OF MATERIAL FEES <br /> HAZARDOUS MATERIALS <br /> DATE DUE: 03J05M • - - - . • <br /> Da. -- <br /> Per AID1• Mah OK <br /> venGor a <br /> ACCT.$ AMOUNT DISCOUNT <br /> .3 I <br /> If you have any questions or wish to discuss the calculations, please <br /> call 468-3969 to make an appointment. <br /> Thank you for your cooperation. <br /> CSXOES41 <br /> RETURN WITH YOUR REMITTANCE <br />