Laserfiche WebLink
+► EIAP`IOADUIN LOCAL HEALTH D-4TRICT <br /> _ _ UNOENROUND STORAGE TANK PROGRAM_ FEE NORKSHEET_� <br /> FACILIfYlSITE NAME FACILITY CONTACT NAME <br /> C ., Frank C. Alegre'Trucking, Inc. Robert Fowler <br /> I ' <br /> L 11 at MORE" SITE PHONE I WITH ARIA CORR <br /> N Cluff t (ipp CC 209 334-2112 <br /> Y CITY ," �tLtSdi "'a,<r.,, SCsi 9512400DE atoSiltanks 1 <br /> AA APPLICANT/TILLING HANE APPLICANT CONTACT NAME <br /> P Frank C. Alegre Trucking, Inc. Robert Fowler <br /> 1 NAILING MINIM y-- -_ APPLICANT PHONE 1 WITH •Hu C009 <br /> 802 N.' Clui£ y _ (2029 334-2112 <br /> T CITY 9iAT 11p t E TYgE o� APP.LJ&11ON ova <br /> Lodi <br /> a 952I CL au„ , IHa ALL Trees, ■Te. Closure <br /> FACILIfY FEE t4100;00'fti6'lfITE7I 1111 per YEAR TOTAL <br /> C °1966 196 1900 1909 <br /> r -_ <br /> E TANK FEET I30.00 spth TANK — <br /> F1 i##Oks , 1 150,00 1486 198) 1988 1989 <br /> A (401!1 11i 11110 or <br /> each �/11 toItlh�d t <br /> L STATE 1119HARGE a 156.00 Nch'YANK'(slf`CA HEAITN 6 SAFETY CODE'Sec 25207 lot applicability) <br /> T 1 tanks, 1 156.00 d' 19G6 1981 1988 1909 ' <br /> Y (snkst MiAl 100 list) --- <br /> 1C PERMANENT CLOSURE QtAorai or'el0surl•IO•pllcl) y- <br /> 0 CLOSURE FEE a 110600 pith TANK ':, .. 1 Tanks --- — <br /> 1 r 190.00 <br /> OHE <br /> RDER OFE <br /> $ �m <br /> — DOLLARS <br /> FEE • 130.00/Ar It I {35.00lhr <br /> FEE = 135.00/hr { <br /> TOTAL OUE t g0.00 <br /> Offtet 0fI OIQ — <br /> SWEEPS 1 colt I : LO0'CODE 011Qt0bE ;AMOUNT DUE AMOUNT RCVO CHECK /CASH RCVD BY DATE RECEIVED PERMIT 1 <br /> f DUE _._. .c. _ —_------ — — <br /> jL` LFG RX t0 !a O I LS C 10 3o r) <br /> .r <br />