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1 <br /> COUNTY OF SAN JOAOUIN <br /> REFUND REQUEST FORM <br /> DATE: April 15, 1992 <br /> DEPARTMENT: PUBLIC HEALTH SERVICESIENVIRONMENTAL HEALTH <br /> REASONISI FOR THE REFUND: PAID ACTIVE FEES FOR UNDERGROUND STORAGE TANK FACILITY IS ABOVE GROUND TANK AND <br /> ARE EXEMPT FROM ACTIVE FEES. PAID CHECK #3386 ON AUGUST 31 1989. <br /> 8282 E VERITAS <br /> WAKSL82 <br /> RECEIPT # OTHER IDENTIFICATION A <br /> DEPOSIT PERMIT A DATE OF DEPOSIT PERMIT: <br /> AMOUNT OF REFUND: 1116 ,.,. <br /> REFUND PAYABLE TDUARRT ASKL AND <br /> ADDRESS:_C/O ENVIRONMENTAL HEALTH <br /> 445 N SAN JOAQUIN <br /> DEPARTMENT APPROVAL Gt- <br /> mm�eri:ea ei9�emre <br /> EXPENDITURES AUTHORIZED By: <br /> AvtMrlxed ele�nme Dere <br /> ABAfiL��a"'ib }��•�a��'1("'�,'���'fj���j,�,�'"8T40�"'�'. +►'�_� _. .._ <br /> i✓R71 ti��+�+e— � '�� '; �� Claims examined and <br /> approved pursuant to Govt <br /> Code Sec. 29741 <br /> ADRIAN J VAN HOUTEN <br /> County Auditor <br /> by <br /> Deputy <br /> ENTITY NO FUND DEPT NO EXP CODE AMOUNT VENDOR NO <br /> �,3/yam <br /> COPY <br /> ASM ronr-76051791 // 1)6g <br /> r <br />