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1 <br /> lo/ <br /> COMPUTER # NBGLASR70 <br /> DBA GLASROCK HOME HEALTH CARE <br /> PREMISE ADDRESS: 705 INDUSTRIAL PARK DRIVE, MANTECA <br /> BILLING NAME: <br /> BILLING ADDRESS: <br /> FEE INFORMATION: E'c> li-1�5' <br /> DATE AMOUNT PAID SURCHARGE FEE MISC, / DESCRIPTION <br /> 2- $ Flo s 5(p $ / <br /> a Y,, $ Iso $ $ <br /> - 16-c 1 1�50 1 A - Lel <br /> l,� ) A - \ ,-,51`iU <br /> cli) A - 1991 <br /> (� - I° -9I 1 9, E / r9 - rg9 / <br /> TANK INFORMATION: <br /> TANK # I STATE ID# / STATUS �c1 <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 /> Cl) <br /> FACILITY PERMIT APPR(*�.J SURCH.,.oE FEE RELEASED <br /> i <br />