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p4>.0 IN <br /> COUNTY OF SAN JOAQUIN ACCOUNT.NUMeER <br /> r. ? Y SERVICE OFFICE OF EMERGENCY+: :< 3627 <br /> ROOM 670, COURTHOUSE <br /> 222 FAST WEBER AVENUE <br /> c9Clko"a�'r STOCKTON, CALIFORNIA 95202' aJ� <br /> I <br /> I i <br /> BUSINESS EMERGENCY PLAN FEES 'cu"" <br /> BUSINESS NAME BUSINESS PHONE NUMBER <br /> CRL TRANS DISTRICT 10 209-948-3871__ <br /> BUSINESS CONTACT NAME <br /> J RUSSELL JACKSON <br /> BUSINESS ADDRESS TY STATE ZIP <br /> 1976 E CHARTER WY STOCKTON CR 95205 <br /> pw <br /> LO $24000 FEE PLUS SHORLONG /$60.00 FEE PLUS \ <br /> BUSINESS EMERGENCY PLAN TYPE: ❑ FOiW ($,5.00 PER HAZARDOUS MATERIAL) ❑ FORM `$10.00 PER HAZARDOUS MATERIAL) <br /> NUMBER OF HAZARDOUS MATERIALS: 3 ` <br /> AMOUNT DUE �ff• [fill <br /> $240.00__ + — 3 X $ 15.00 - _$285.00_ <br /> FEE NUMBER OF MATERIAL FEES <br /> HAZARDOUS MATERIALS <br /> 04/24/92 WHITE COPY -I I • <br /> DATE DUE: KEEP YELLOW • • i• YOUR RECORDS. <br />