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P�U'IN. <br /> �` cO COUNTY OF SAN JOAQUIN ACCOUNT NUMBER <br /> OFFICE OF EMERGENCY SERVICE <br /> ROOM 610, COURTHOUSEil <br /> 222 EAST WEBER AVENUE S_, <br /> c4�7koaN`P STOCKTON, CALIFORNIA 95202 ----._ <br /> nD 1992 <br /> BUSINESS EMERGENCY PLAN FEES SAh IC'A IN pNNTY <br /> `LRGENC <br /> - _•. YSERVICES <br /> BUSINESS NAMEBUSINESS PHONE NUMBER <br /> I_ STORflOE CO/BEKINS <br /> BUSINESS CONTACT NAME <br /> BUSINESS ADDRESS ,!7 CITY STATE__ <br /> LONG $240.00.FEE PLUS �{�XXSHORT $60.00 FEE PLUS <br /> BUSINESS EMERGENCY PLAN TYPE: ❑ FORM $150 PERH'ARDOV MATERIAL $10WPERHn AROOUSMATERIAE <br /> ( ) 11XXFORM ( ) <br /> NUMBER OF HAZARDOUS MATERIALS: " <br /> AMOUNT DUE • • • <br /> ,0 00 + 2 X S 15.0'_ <br /> FEE NUMBER OF MATERIAL FEES <br /> HAZARDOUS MATERIALS <br /> 04/24/92 WHITE COPY • WITH YOUR <br /> DATE DUE: KEEP YELLOW • Y FOR YOUR RECORDS. <br />