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COMPUTER # NBTHIEM10 <br /> I A <br /> • DBA Thiemann' s Service <br /> PREMISE ADDRESS: 106 2nd Street, Ripon, CA <br /> BILLING NAME: <br /> BILLING ADDRESS: <br /> FEE INFORMATION: _ co1-1� 9 <br /> SURCHARGE FEE MISC / DESCRIPTION <br /> AMOUNT SURC <br /> _ <br /> DATE A <br /> _ T PAID — URC <br /> 1-2.7 $ `f�� $ $ / <br /> $ / 3 R <br /> _ \ \!n\ kA -sb 3A i � 7n <br /> • _9 o r250 <br /> 3 J 1 1 �7 � 41 n o [M w✓' ^ iT <br /> TANK INFORMATION: <br /> TANK # <br /> STATE ID# / STATUS _ ----- <br /> TANK # <br /> STATE ID# / STATUS_ _ ---- <br /> TANK # <br /> STATE ID# / STATUS <br /> TANK # <br /> STATE ID# / STATUS --- <br /> TANK # <br /> STATE ID# / STATUS — --- <br /> TANK # <br /> STATE ID# / STATUS— <br /> TANK # <br /> STATE ID# / STATUS_ <br /> TANK # <br /> STATE ID# / STATUS <br /> TANK # <br /> STATE IO# / STATUS <br /> • <br /> TANK # STATE ID# / STATUS <br /> SUR#GE FEE RELEASED <br /> FACILITY PERMIT APP&ED�__ 3 <br />