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OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIAL MANAGEMENT PLAN FEE <br /> CURRENT YEAR R <br /> n 1 <br /> BILLING CORRECTION RECORD <br /> Name of Business PPL Si-of 2 /[�© P�Gt ;� Sl�rlQ �L� C <br /> Primary Contact _TL,a 4 J�C.r cL v `Account�N`o. / 7 <br /> Facility Mailing Address 90 �oX Z S� SI c.k , d7 Z o / <br /> p _ , <br /> Billing Year That Error Was Made 7 <br /> Amort Originally Invoiced <br /> Original Base Fee/Chemical Count o2 1�0 aQ S <br /> Type of Error: [ ] Data EntryReview [ ] Other <br /> Nature of Error—7G06 ;,I e.- 7 <br /> 9cram Acj <br /> /,Z 00 C. , Cc)�s a Com �.� �'.a euro <br /> Corrected Base Fee/Chemical Count Z 05-1-a/3_ <br /> Amount Overcharged SCS Qo <br /> Amount Undercharged <br /> Comments <br /> For Supervisor's Use: Supervisor's Approval �/' ✓� / �y <br /> Actions Taken or Ordered -L_51��2 2 C,4P <br />