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3(148 21500 L e4 l Ca, 270 w <br /> RECEIPT CASH CHECK OTHER AMOUNT <br /> DATE NUMBER ID NUMBER a INESS NAME MIT PMT RECEIVED <br /> RECEIPT N0. 21508 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 E. WEBER AVE. - ROOM 610 <br /> STOCKTON, CA 95202 <br /> BY <br /> ASHIER <br />