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COMPUTER # <br /> DBA <br /> PREMISE ADDRESS: 5099 Bear Creek Q " <br /> BILLING NAME: <br /> BILLING ADDRESS: <br /> FEE INFORMATION: <br /> DATE AMOUNT PAID <br /> SURCHARGE FEE— MISC / DESCRIPTION_ <br /> � <br /> '2A/i 57- 8 <br /> S / <br /> S x'10 _-- <br /> $ <br /> TANK INFORMATION: <br /> TANK # I STATE 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 APPRO„, SURCHA , FEE RELEASED <br />