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11/07;'95 17:36 %2209 467 1026 0 B R INC 0003 <br /> STA I E CF CAUFORran <br /> SE+t.A€IAM1CA s.zs,-2'rs� BDRRt]O EOU ►ZAT10N <br /> {9181a�3-8555 <br /> UQAR7 tl3E ONLY <br /> HAZARDOUS WASTE DISPOSAL FES RETURN - nee RR PR <br /> DtjE ON 011 11EFORE 1/31/95 Fon JULY-11iAt <br /> SER 1994 m ACID NR <br /> tl _b-Maii To- HWCA FIVHW03 <br /> 7294 Q 36-055589 <br /> STATC 13pAR0 OF EOUAUZATION QUICK BRAKE INC. FILE <br /> ENVIRONMENTAL FEES DIVISION 2325 W. CWTER 'WAY <br /> po BOX 94P-754 sToC1+TON, CA 95206 <br /> SACRAMENTO CA 94291-2754 READ IgS-MUCTIONs <br /> 1627 ARMYC;t7UR`1 BaORE A+"AAING <br /> Maw ctmwes if name <br /> CAt 00t1}2011 9 or addre.5 u uiC Mr, <br /> - A a <br /> TOTAL TO°W ►+GE TmAtiLiE TONNAW! Ff.E RATE AMiUUWT <br /> (7(ilE3 7"ADUM EMP OF FEE <br /> arl.,[,rrnn■r:nci4s��1 3Y CA Ef-OF ®w C) <br /> 1, P �lao rwxmLid is used Ind romrjvod burn a m4ux <br /> vehicle} <br /> -} ?�.Norl-FiGfiA regulated Iluardous waste rally <br /> `r ` Indudns s�haa�os} - f b 82 <br /> 2b-rston-ACRA rerquiated hamudous wastO Se"'amted <br /> in a efesi-9 Arian <br /> — 3 <br /> 3. Mining YMST F...13:95 <br /> 4, rrtreM81Y h-AC(IOu5 W"o <br /> FlesttiC%d waste " 14:34'.. <br /> s. ' <br /> 9. ,y�rr;CUs r asia 49`: 4 <br /> 7. Trailwol ldd out 8f state <br /> a. Rersjdues from ir1Clcrara4m or der-hiarirtat(x1 $. <br /> at hazardous WA8te �] <br /> 9. Tntal foo(Adrl lWaS t thrOugh 8 in GOJLum D} <br /> meat is made aRsr dug dale inr*catad aWVe) PENALTY 1Q. <br /> 10. Pcirss�lfY(rnuHiply Lim 9 by t Ugb t-r41 if PAY - <br /> INTEREST OF Il% PER ANNUM (,009167 PER MONTH) :IS 1JOE IF 1HTF.fWAT 11- <br /> 11. <br /> 1- <br /> st_ PAYMENT I5 MADE AFTER THE DUE D A`1'E <br /> 12.7D7AL AMOUNT atlE ANS PAYABLE(add fines 9.10.ancf 1 1I <br /> ewer jh&am Lim.inwA wr g any rccornvanrn9 8lld a"ts has bow <br /> I here0y ce y s and wl,af s a ru%Cgrre�-r and catn"w mum <br /> �nnad by me end m ma 0=of 1ny k ed9 —�r_-- PHONE <br /> riff! Tri <br /> lN1r�fRYGE n1Ak1E ANS TRLf �,NATUAE <br /> f <br /> T'r a afsL[ TO <br /> -'-- UM <br /> — AAAK9 CN[CK UR Fd{)r�t';,. f6ey cme,make a crj()y j r Yw�wores <br /> A1rhbYis raise yen ancounr rwmrrlr az y...•r cmulk or rncar Y <br />