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` � PgUlp • <br /> COUNTY OF SAN JOAQUIN� ACCOUNT NUMBER <br /> 2.' y <br /> OFFICE OF EMERGENCY SERVICE <br /> ROOM 610, COURTHOUSE 2153 <br /> >.c 222 EAST WEBER AVENUE <br /> 9L/FORN`P STOCKTON, CALIFORNIA 95202 <br /> BUSINESS EMERGENCY PLAN FEES FLFEBI3 <br /> BUSINESS NAME SAN 1'AlUIN COUNTY I <br /> BJJ COMPANY INC BUSINES <br /> 099 VICES <br /> 2 -941-8361 <br /> BUSINESS CONTACT NAME <br /> NICK KOSTR <br /> BUSINESS ADDRESS Y STATE <br /> 2431 E MRRIPDSR RD CITY <br /> CA z195205 <br /> BUSINESS EMERGENCY PLAN TYPE: ❑ FLONG ORM SHORT <br /> ❑ FORM <br /> NUMBER OF HAZARDOUS MATERIALS: 16 <br /> AMOUNT DUE • • • <br /> $240.00 + 16 x $ 16.00 _ $466.00 <br /> PE-` NUMBER OF MATERIAL FEES <br /> HAZARDOUS MATERIALS <br /> DATE DUE: 03/06/93 WHRETURNED WITH ITE COPYYOUR REMITTANCE <br /> KEEP YELLOW COPY FOR YOUR RECORDS. <br /> ACCOUNTS P ABLY <br /> DATE: <br /> CF. <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 /> CSJIOES of <br /> RETURN WITH YOUR REMITTANCE <br />