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Adol148-7581Sy MAS P r- 3�s <br /> RECEIPT <br /> DATE NUMBER ID NUMBER • BUSINESS NAME ASH HEC OTHER AMOUNT <br /> MT PMT RECEIVED <br /> RECEIPT No. 28758 <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 /> CASHIER <br />