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5.45C <br />PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK PROGRAM <br />UGST BILLING AUDIT <br />DATE: 11/07/91 <br />SITE NAME: wo-i mi4R r sYEEPS Y: <br />ADDRESS: 370.Z F,urp,/.yA oq ccMP 9: a <br />MISC <br />X TANKS 9 TANKS UNAUTORIZEDADOITICNAL TOTAL <br />ACTIVE STATE 9 TANKS 0 TANKS 1 TANKS PENALTY Al TANKS PIPING RELEASE AMOUNT AMOUNT <br />YEAR TANKS SURCHARGE CLOSED INST TEMP CL APPLIED REPAIRED REPAIR INVESTI PAID PAID <br />1N11111f fN11f f 111 tf ff f7f11111f 1f f 1fN1f11111 ff.ff.f 1NN ff1111ff................... .............. ......f.... N 1....11E 11111... <br />1986198nl O fiW7�"'°" <br />1 <br />199 <br />1991 -5 15-,( 5 /55`f S <br />1992-9�X-V �. B xd o5 <br />1993 / <br />1994 <br />1995 <br />—z evszevz-.zzerscxxxsmzzzzmaax_-aaaaxxr_sxazxxxmaxxzzzzzzzaz�zzozzzzvzaasaaxzxxxmzzzzzzzzzszzeexsxzxazzzxzszzsssaxmzzz <br />TOTAL 0 0 0 0 0 0 0 0 0 SO s0 <br />TOTAL AMOUNT DUE a s0 <br />UNAUTCRIZEDADOITICNAL <br />TOTAL <br />STATE <br />LOT <br />PENALTY <br />CLOSURE <br />INST <br />TEMP <br />9 TANKS <br />PIPING <br />RELEASE <br />AMOUNT <br />AMOUNT <br />YEAR <br />SURCHARGE <br />FEES <br />FEES <br />FEES <br />FEES <br />CLOSURE <br />REPAIRED <br />REPAIR <br />INVESTI <br />BILLED <br />BILLED <br />Nlff if ltt <br />ltlNfff if lfNfEN.NtfllffffflfifEENlfiifllffiffMNNNff.11Nf111ftfNNNfNff <br />tf 11f <br />1ftflff Nff.lf if tff lf.N lt.1f f fff <br />1986 <br />s0 <br />s0 <br />SO <br />s0 <br />s0 <br />SO <br />s0 <br />s0 <br />1987 <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />1988 <br />SO <br />s0 <br />s0 <br />s0 <br />s0 <br />$0 <br />s0 <br />s0 <br />1989 <br />SO <br />SO <br />SO <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />1990 <br />s0 <br />SO <br />SO <br />s0 <br />s0 <br />s0 <br />f0 <br />s0 <br />1991 <br />s0 <br />s0 <br />s0 <br />SO <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />$O <br />s0 <br />1992 <br />SO <br />s0 <br />SO <br />SO <br />SO <br />SO <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />1993 <br />SO <br />s0 <br />SO <br />s0 <br />SO <br />s0 <br />SO <br />SO <br />s0 <br />s0 <br />s0 <br />1994 <br />SO <br />s0 <br />s0 <br />SO <br />SO <br />s0 <br />s0 <br />s0 <br />s0 <br />SO <br />s0 <br />1995 <br />s0 <br />SO <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />s0 <br />_______x -z _------aa___________a----zzzsz <br />_ _ zaazzzzzzzzzzzzzzzaaszzszzszzzzzzszxxzzzzzzazzxazxasxxzaaxxaxxxxxazaaxxaaaazzaxxxa <br />TOTAL <br />s0 <br />s0 <br />SO <br />s0 <br />s0 <br />s0 <br />SO <br />s0 <br />s0 <br />s0 <br />SO <br />TOTAL AMOUNT DUE a s0 <br />