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CPC # TO: ( [CE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL ACCOUNT NO. DEPT.NO. QATF <br /> REFERRAL COPY <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> B&B EQUIPMENT CO <br /> C/O NAME GUARANTOR SSN <br /> RICHARD O BYWATER <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> B&B EQUIPMENT CO P.O.BOX 31600 STOCKTON CA 95213-1600 209-942-3131 <br /> RESIDENCE STREET CIN ST ZIP CODE AREA PHONE NO. <br /> P.O. BOX 31600 STOCKTON CA 95213-1600 209-942-3131 <br /> USER REFERENCE NO. I BILLI STAA CYCLEI STATUS DATEI BMd CBMCI INT MONTHLY PAY AMT <br /> IF CAT TERM DATE <br /> 6622 HAZMAT I 1 11 11 ,11124/05 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2005 Hmmp Annual Fee $240.00 <br /> 1 Chem @ $15.00 Each $15.00 <br /> 10% Late Charge $25.50 <br /> State Service Fee $24.00 <br /> Sm Hz Gen <5 Tons/yr $200.00 <br /> Permit Fee Penalty $200.00 <br /> TOTAL $704.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST Z1P CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> B&B EQUIPMENT CO 209-942-3131 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 3132 FARMINGTON RD STOCKTON I CA 95205 <br /> 9£effM CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> B&B EQUIPMENT CO 209.942-3131 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 3132 FARMINGTON RD STOCKTON CA 95205 <br /> PREPARED BYI CHECKED BYDATE //�J s 00L20 (sree <br />