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7AN kl"aUlx =xTT pVNtIC NEALTN SEAYICEi
<br /> E4YIsaN1 m';NEALTN DIVISION
<br /> 'OOMM 870E,WE TANS PSOONAN ••FEE ' SHEET
<br /> fAtllllT,tlT{.MNE
<br /> " /1]/� , ; t, :. 'l .s rACILITT CONTACT tINIE
<br /> i�/ NIC' '� ictn'/Dc
<br /> 1 fACIl1TT:Ap9E1's ,;ry 9i7EG g��
<br /> PNW 1 with
<br /> T HITT LVED
<br /> T T1. i1/
<br /> " � , • ' � � 953 G�� IRare A 8
<br /> DONT
<br /> /GTf TFi�/N pNIS/pN
<br /> i " F 3" / ./) 1` �1 r% , x is 3r APKI T pm" 0 WITN ANSA CODE
<br /> i N "CITY-
<br /> )PL
<br /> CITY � ��' >�' '5 `
<br /> 4,`xTTT+( of.AFVLIGTION p
<br /> ' C4D7lRE,:,INSTALLAT1aN, eta. /J.Err0
<br /> R� `. f ): TOTAL
<br /> 1
<br /> /".41n`fiE (►rt°I'���jp�j"��T,,±�T4Yi1 �,{1�feR{ Y° R 'F�r I9✓!D 1990
<br /> t E TANK•TOE �in,,vci30:A0/TAN6 # jPvl�'T�.� 1`' sr .. .'
<br /> ( ' 1MM1iM'Y� r Y4T1..�F� �:.#41TWTANK ,11(tEr,,l■ruvrY 1, 1991)
<br /> Ci wlTIt14Y= fN fWh T � c 1 Jul, 14D11�, 1491.,, 1991 19DS 1996
<br /> 1 {qfh Y}M��► Gl�ltl'r,ria, �r .. ;� �[ � 1 v� .,
<br /> L iTAR a c ii . •r, •
<br /> I EWC.NAER{ +r• b.40 N.eA TANK ;TWw !r•TY.s,YllinTrAEn,sv4lfornlA N. .i Codv, E.etlan 252E7
<br /> .} t 176.00 - r a?` 19E4 thTAUEh;:,199p, zt,
<br /> T -(inter l�vult rnd�qr) 7991 throum 19%
<br /> PEp01lIENJnG}{ E jE1MRvsl 41; 144 �3bQ,4.19►Y112IEr�Tu :J!INK;T o. 1(q
<br /> L Ctostils.«pEN-,�,eics7,oD.p�r IIpr,4#,. ii14 Pif.?�Nck
<br /> `.:0 TANxdT. x simoo
<br /> i /S9,oc
<br /> ' MODESTO BANKING COMPANY
<br /> SE roof a"c`�i N�>a`vo 3732/1211
<br /> 1ENERg6 ENGINEEff ry" &�y�O NTAL CONTRACTOR �j
<br /> 431 (209) 524-96
<br /> MODTO,CALIIFORN A 9535153 5 727
<br /> PAY ,I ff rr
<br /> SEIU�L/�»i{. A:.y, (•'y I,.)I,'i� (y I� Itllll L.m�.,
<br /> TO THE ORDER OF ••I L I I�. 1 bl �� �Ipll I•., ,,,
<br /> DOLLARS ; s
<br /> DATE CHECK NO. AMOUNT
<br /> se"tcO
<br /> s
<br /> • � 41'E[7 _
<br /> iiw�iwwi..w.iirir w.7`ii " ■Twr,.;aw"7i '.�Sj'o�,:; 7
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<br /> IN 27 01= IFFY {!MIT ft rawsr■rr�■uwsr■�■■�r.rr■rr■�ir■�i+s:..:■::.
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