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COUNTY OF SAN JOAQUIN <br /> REFUND REQUEST FORM <br /> DATE: September 14 1992 <br /> DEPARTMENT: PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH <br /> REASON(S)FOR THE REFUND: DOUBLE PAYMENT ON FEBRUARY 28 1991 FOR UNDERGROUND STORAGE <br /> TANK FEES. CREDIT WAS GIVEN FOR 1992 FEES. REMAINING CREDIT OF $224 NEEDS TO BE REFUNDED. <br /> THRIFTY OIL <br /> 7647 PACIFIC AVE , <br /> THRIF76 <br /> RECEIPT # OTHER IDENTIFICATION # <br /> DEPOSIT PERMIT# DATE OF DEPOSIT PERMIT: <br /> AMOUNT OF REFUND: $ 224 <br /> REFUND PAYABLE TO: THRIFTY OIL #172 <br /> ADDRESS: C/O ENVIRONMENTAL HEALTH <br /> 445 N SAN JOAQUIN <br /> I <br /> I , / I <br /> DEPARTMENT APPROVAL h ) I' r <br /> Authorized 919n tune <br /> EXPENDITURES AUTHORIZED BY: <br /> Atnhorizetl 6lprotwe Oete <br /> ABATE TO <br /> Claims examined and <br /> approved pursuant to Govt <br /> Code Sec. 29741 <br /> ADRIAN J VAN HOUTEN <br /> n - County Auditor <br /> oll by <br /> Deputy <br /> ENTITY NO FUND DEPT NO EXP CODE AMOUNT VENDOR NO <br /> AW Cent-2e16nsl <br />