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717-01 21370 lIDL- Ue--1le <br /> DATE RECEIPT ID NUMBER <br /> UMBER • <br /> 17BUSINESS NAME • ASH HEC AMOUNT <br /> PMT PMT OTHER RECEIVED <br /> I <br /> RECEIPT No.27870 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 E. WEBER AVE.•ROOM 570 <br /> STOCKTON, CA 85202 <br /> BY <br /> CASHIER <br />