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COMPUTER # LI <br /> DBA <br /> PREMISE ADDRESS: 1-'1 <br /> BILLING NAME: <br /> BILLING ADDRESS: <br /> FEE INFORMATION: #oo, <br /> DATE AMOUNT PAID SURCHARGE FEE MISC. / DESCRIPTION <br /> ti q--k, <br /> $ $ $ / <br /> TANK INFORMATION: <br /> TANK # STATE IN / STATUS 1/�l <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> TANK # STATE ID# / STATUS <br /> FACILITY PERMIT APPROVED SURCHARGE FEE RELEASED <br /> ;��i,s� <br />