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I ,., u 1 1, I tc 1 G I <br /> - ON""?GROUND STORAGE TANI: PROGRAM FEE NORASHUT, <br /> �f r C1L1TY/SITE NAME FACILITY I;ONTAST ANE <br /> H <br /> ' - MIKE CARDOZA TRUCKING Same <br /> I <br /> L STEEE? ADDRESS SITE P11�Nf I D''" .aE. CODE <br /> 1 221 N. CARDINAL c 9 948-2900 <br /> 1 - _— — — <br /> YCITY STATE 11P CODE 11 of Tanks <br /> STOCKTON, CA 95204 ' CA 95204 al Site hree <br /> Th (3) tanks. <br /> -- ree <br /> A APPLICANT/BILLING NAME <br /> P APPLICAl1i CONTACT NAME <br /> MIKE CARDOZA TRUCKING MIKE CARDOZA TRUCKING <br /> I MAILING ADDRESS APPLI S T PHO °rTM .■c. cooe <br /> Same as above. ��9 �8-2900 <br /> A -----.-...--------....-.-....._-•----._....-....._.__.- -._--- <br /> N CITY STATE 21P CODE PPLICATION <br /> T Clouue 1wer.L4.78O.., ETC. <br /> A fAL1lITY FEF = f100.!1l each SITE ADDPESS per YEi,P --•- -------___.-._..---------_-,- — TOTAL � <br /> — --- - <br /> - --- <br /> _. _ - - <br /> I T — 1396 1'397 1300 l 199'3 <br /> .t <br /> 1 { <br /> l' <br /> _ •t <br /> E TANK FEE = 550,(J0 each TAM.' <br /> r f Tanks z $50.00 li9b 1197 1390 1993 — ! <br /> A I ultipr5l_by fee for - ---- ---- - --- - - -- -_ —�-- $ ,f <br /> Ieach-year applicable) <br /> L STATE SURCHARGE = 656,00 each TANI: (see CA HEALTH 4 SAFETY CODE Svc 25207 for applicability) <br /> T I Tanks z• S56,fut -1'336 1307 1309 !38'3 '{ <br /> Y (enter iiountand year) I•-----------._.-...-------------------- ___ __ -.,� <br /> C FEPffAHEHL CLOSURE (Pe■ova! ur Cln;ure in place) t <br /> L <br /> 0 CLOSURE FEE = 590,00 each TANK - - - - -I-I Tanks z 190.00 <br /> S -------------- <br /> R TEMPORARY CLOSURE (Only alloved one tine for up to two years) <br /> - ---- — <br /> E — —. - --- - --- - <br /> TEMPORARY CLOSUIX FEE = 690.(+0 eaClt TAN!: � <br /> Tan <br /> i :311.00 $ <br /> P PLAH-CHECK Clnslallat;on or Repair) -- - --_ - __-_-._...__-_.____..---•----•--- T <br /> L <br /> III PLAN CHECK.FEE = 630,00 each SUIMISSIBAESUDMISSIUIU. <br /> 1 <br /> REPAIR - - ---- -- <br /> • t ` <br /> F. TAX)* F.EPAIP. FEE = 5110.00 each TNIC I"'--""--'-"-•---___--____-_ 6 <br /> IIJ 1 Tanks z 6110.00 <br /> A PIPING REPiIP1CLOSURE/REY,OVAL (Fees are per hour, ■ini■uO one. hour to be paid on plan subaittal) — <br /> r <br /> 1 <br /> R UNAUTHORIZED P,ELEASE.EVALUATIUN CONSTRUCTION INSPECTION SAMPLING INSPECTION �. <br /> (vhen•ap'plinble) --_-- (when applicable)- --- - (when applicable) I �A <br /> ,TEE = 130.007hr. IEEE = 535.001nr� FEE = 535.00/hr <br /> 1 <br /> — ----- — - - --- - -- - --_.._.__.._..._-- -- - - --- -- - J <br /> TOTAL DUE <br /> OFfiCf USF OY.(Y" r <br /> _- �!""'�)E"6'V 1'�!'�'C,::��VI?Iw�9C,Ot�i4�919��11,914%V9�IG!1q�I�NVVOG!!V9111V!IIIlN61{iV�)91iV'�iIP!�IGII&IIVQ�miVIDIN�Qnfd�miV�INf118V€�9�G(R�VPd��I�!'�.a <br /> SWEEPS I CON f LOC CODE DIST CODE AMOUNT OUE AMOUIIT RCYD CHECK. 1/CASH BLVD BY DATE P,ECEIVEDI PE?MIT I <br /> 1_ <br /> - - <br /> IL^5� ��_A 3a7 o�—. ... -�-- -------- --- <br /> ;.qm ��� Da X70 — qy" <br /> / ' 73Et.u::rIQQV::Q"�6�!I!Ts�l'nfPQN9 (�ltPTl9l�lu�9QlIIL.9!n!Q!!n& ft'IIIIQQQBQQQ°fVNIIVmQ�QllJ.s?h"5'i"I�P�!It.:9:! " .,re <br /> i <br />