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COMPUTER # NBBLOOM20 <br /> DBA CHAS. H. BLOOM CO. , INC. <br /> PREMISE ADDRESS: 2010 W. FREMONT ST. , STOCKTON <br /> BILLING NAME: <br /> BILLING ADDRESS: <br /> FEE INFORMATION: p > 11 <br /> DATE AMOUNT PAID SURCHARGE FEE MISC, / DESCRIPTION <br /> $ Coln $ $ / <br /> -) - �� $ ISc� $ $ <br /> �2- $ 15c-� $ $ <br /> TANK INFORMATION: <br /> TANK # 1 STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> FACILITY PERMIT APP"VED SURCu^RGE FEE RELEASED yI 8 J <br /> O <br />