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TO: n�FICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL Copy <br /> ACCOUNT NO. DEPT.NO. REFERRAL <br /> DATF <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> B&B EQUIPMENT CO 1 11 11 1 <br /> C/O NAME GUARANTOR SSN <br /> RICHARD O BYWATER <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE N0. <br /> B&B EQUIPMENT CO P.O. BOX 31600 STOCKTON CA 95213-1600 209-942-3131 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> P.O. BOX 31600 STOCKTON CA 95213-1600 209-942-3131 <br /> USER REFERENCE NO. BILL STA CYCLE STATUS DATE BM CBMC INT MONTHLY PAY AMT <br /> )F DATE I TERM CATE <br /> 6622 HAZMAT j 4/15/04 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> DOB <br /> SERVICE DATE: DATE OF <br /> START STOP MED AEC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2004 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 ZIP 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 CA 95205 <br /> 8PeUSS 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 I CA 1 95205 <br /> PREPARED BY - ` CHECKED BY J DATE 6 7/0y I COL. 20 MIG, <br />