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• POUIN <br /> COUNTY OF SAN JOAQUIN� ACCOUNT NUMBER <br /> Q. :< OFFICE OF EMERGENCY SERVICE <br /> x. . <br /> ROOM 610, COURTHOUSE <br /> ..(`9 `p:• 222 EAST WEBER AVENUE 63$7' <br /> <1FoaN STOCKTON, CALIFORNIA 95202 <br /> BUSINESS EMERGENCY PLAN FEES 61992 L� <br /> BUSINESS NAME � ' <br /> i <br /> CALIFORNIA STATE FISH & GAME BUSINESS PHONE NU rr <br /> BUSINESS CONTACT NAME 209— ON—4421 Cj - 7800 <br /> H.K. (PETE) CHADWICK <br /> BUSINESS ADDRESS <br /> 4001 N WILSON WAV CITY STATE'ZIP <br /> STOCKTON CA 95205 <br /> BUSINESS EMERGENCY PLAN TYPE: LONG 52aaoo <br /> FE-W—US SHORT <br /> ❑ FORM �s' ar c +Az,-DOU"MATFRIAL ❑ FORM $10.00 EEE RWs <br /> $10.00 PER HAZARDOUS MATERIAL <br /> NUMBER OF HAZARDOUS MATERIALS: 5 <br /> AMOUNT DUE <br /> 9240.00 + 6 X $ 15.00 _ <br /> FEE NUMBER OF $330.00 <br /> HAZARDOUS MATERIALS MATERIAL FEES <br /> DATE DUE: 04/24/92 WHITE COPYRETURNED YOUR <br />