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'Nov 07 14 03:35p <br />Eli* IV Contactors 12094 6342p.3 <br />5AN JOAQUIN COUNTY <br />ENVIP-ONMENTALHFALTHDF-PAICT4 :hiT <br />1868 F— Hmxltm Ave,, &0ckb)u, CA 9520.1 5232 <br />TOAVkana: (209) 468-3420 Faw (209) 468-3433 We,)., q�mc�hd <br />kin%/ It PT 1)A4A <br />!E;T NAME <br />:#VWTIH4 AREA CODE: <br />rO BE DOME CONTRACTOR jcc# <br />R it Re"- <br />cmsbuc*m i-wecipons) <br />TANK ID # (S) - <br />PLAN CHECK FEE. '10401 FACILITY <br />REPAIR PLAN CHECK <br />TANK ID it (s): <br />TANK RMOFIT REPAIR FEE I FACILITY (use for monftoFWQ equffipmerit cold t Es. EVR upgrades, <br />buckets, sum ps, Misr_) <br />PIPING REPAIR FEE = $3901 FACILITY use for h9. Dqtl�� conti in i2rrt ccL) <br />LTRTAL AMOUNT DUE <br />RECE'IYm [3YI DATE RECEIVED <br />