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DATE *RECEIPT •,` 1\ ( )I mom` Ke.4' */z/ -'2-70NUMBER ID NUMBER <br /> fa BUSINESS NAME ASH HEC <br /> con <br /> MT PMT OTHER AMOUNT <br /> RECEIVED <br /> RECEIPT No. 28662 <br /> OFFICE OF EMERGENCY SERVICES <br /> HAZARDOUS MATERIALS DIVISION <br /> 222 E. WEBER AVE.-ROOM 610 <br /> STOCKTON, CA 95202 <br /> BY ow- <br /> CASHIER <br />