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COMPUTER # NBDERIC15 <br /> DSA DERICKSON TRUCKING <br /> PREMISE ADDRESS: 15658 S. Escalon Bellota Rd. Escalon CA <br /> BILLING NAME: <br /> BILLING ADDRESS: <br /> FEE INFORMATION: C" oE_ 4 5 Ic Iv <br /> DATE AMOUNT PAID SURCHARGE FEE MISC. / DESCRIPTION <br /> 5-� -'R'7 $ $ $ <br /> n� S as0 $ <br /> O A - 19�`I <br /> - � C a � C ) <br /> a-`A ` <br /> TANK INFORMATION: <br /> TANK # \ STATE ID# / STATUS S <br /> TANK # y STATE ID# / STATUS - <br /> ' <br /> TANK # 3 STATE ID# / STATUS I <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS I <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 /> U/17 z., <br /> FACILITY PERMIT APPRt_D <br /> SURCH'IE FEE RELEASED <br /> 3 <br /> corrections or changes <br /> necessary. Your perr, it will <br /> be mailed upon receipt rr.f <br /> Payment and approval of <br /> facility . <br /> Return <br /> Payment alcang with to; -copy of this statetfle:nt to; <br /> PUBLIC: HEALTH SERVICES I <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH PERMIT/:SERVICE'S <br /> F .O. BOY, 2009 <br />' STOC:KTON, CA 9S01 <br /> I Penalties will be added after <br /> due date as shown: <br /> I <br /> 30 days 100 i,f base Fee I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> SSC <br /> r � <br />