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00p; 625 Sunbeam Avenue 2965 CherzIand Avenue,Suite A RETURN MERCHANDISE FORM <br /> Sacramento,CA 95814-0495 Stockton, CA 95215 <br /> (916 No. <br /> (11443-901 a Sacramento (209)941-9001 Stockton <br /> "awfil 6)443-4572 FAX <br /> RETURNED BY <br /> A DATE ---— --- <br /> ---o" <br /> ADDRESS TRANSACTION NUMBER <br /> 1*0 1�w wo� V, <br /> • COMMENTS INV5IcE ANIONTrISSULD <br /> ... .... MED <br /> IRV BEASONN FOFI RET LIFIN TEST&INSPECTIONFIESULIS <br /> C-6-RE —OPEN —-------------- <br /> -----------fJ=lTFA_ <br /> ........... ...... ...... <br /> —---—-------- <br /> 626 SUREIrAM AVE. <br /> S""AfAIENT0,CA.94811 <br /> 2803 N.MfIERMAND AVE. <br /> STOCKTON.CA.IG16218 <br /> "I Ills <br /> f a ()JI)13AT-rE]IIE','I'ICKrDUr'&,',1(3111:1)ArA,,,V, <br /> 0 <br /> LADDIIESS03 r 0))DISPOSAL AT:I,'R <br /> o ll <br /> 0 0 <br /> fIS R INC.. 7P.0 <br /> F1 -CITY -fNDUS`rIjvCA. <br /> Z:Xfl)r'F(C)lNO(O(.Ir..s4l,,114N L!"VON ST.;ANAtrrim,CA. <br /> EPA Al"llowr)fircycl rll,,; <br /> F X <br /> 11Sn_Cf%#CADOUJq <br /> X riAP CADOM <br /> ... . _ _....... ....IEEE <br /> _ IEEE .VIII_-_. <br /> DRIVER'S SIGNATURE <br />