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yp4 COUNTY OF SAN JOAQUIN ACCOUNT NUMBER <br /> r." <br /> OFFICE OF EMERGENCY SERVICE <br /> N: < 4567 <br /> ROOM 610, COURTHOUSE (111n' <br /> . T EAST W LIF AVENUE I� n n �� IT _ (� "n <br /> c'OCiFoa?�o STOCKTOIY, CALIFORNIA 95202 ILSS L _ _tl 'l._:I[_.4t, <br /> I� rr <br /> BUSINESS EMERGENCY PLAN FEES u� FEB 41993 <br /> SAN 1JAQUIN COUNTY <br /> BUSINESS NAME BUSINESS <br /> OURRDINO-CRRWFORD CO 209-400-9078 <br /> BUSINESS CONTACT NAME <br /> PRT GURRDINO € " <br /> i <br /> BUSINESS ADDRESS STATE ZIP <br /> 517 W FREMONT CR 95203 <br /> BUSINESS EMERGENCY PLAN TYPE: ❑ LONG FORM ❑ SHORT <br /> FORM <br /> NUMBER OF HAZARDOUS MATERIALS: 2 <br /> AMOUNT DUE • • • <br /> $240.00 + 2 x $ 15.00 1 = $270.00 <br /> FEE NUMBER OF MATERIAL FEES / <br /> HAZARDOUS MATERIALS <br /> 03/05/93 WHITE COPY <br /> BE <br /> RETURNED • <br /> DATE DUE: • • • • • • RECORDS. <br /> If you have any questions or wish to discuss the calculations, please <br /> call 468-3969 to make an appointment. <br /> Thank you for your cooperation. <br /> CSJiOES ai <br /> � v <br /> RETURN WITH YOUR REMITTANCE <br />