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COMPUTER # <br /> DBA3ro C a r csi <br /> PREMISE ADDRESS: 1 oSa <br /> BILLING NAME: <br /> BILLING ADDRESS: <br /> FEE INFORMATION: o� 1qj <br /> DATE AMOUNT PAID SURCHARGE FEE MISC, / DESCRIPTION <br /> 1 -4� E $ Sb $ <br /> TANK INFORMATION: <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 /> TANK # STATE ID# / STATUS <br /> FACILITY PERMIT APPROVED SURCHARGE FEE RELEASED -3 <br />