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5 <br /> ATE RECEIPT ID NUMBER BUSIN S NAME CASH CHECK OTHER AMOUNT <br /> NUMBER PMT PMT RECEIVED <br /> J <br /> RECEIPT N0. 16065 <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 />