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COMPUTER # --V 4F 10 <br /> DBA <br /> PREMISE ADDRESS: <br /> BILLING NAME: <br /> BILLING ADDRESS: <br /> FEE INFORMATION: - 1 <br /> DATE AMOUNT PAID SURCHARGE FEE MISC, / DESCRIPTION <br /> P\ 4 S r - )cl �b <br /> $ $ $ <br /> ua <br /> TANK INFORMATION: <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 /> TANK # STATE ID# / STATUS <br /> FACILITY PERMIT APPROVED SURCHARGE FEE RELEASED 7.► <br />