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Ut jCADUIN COUNTY PJGLIC HEALTH SE7VIC?i <br /> ENVIRCNME.HTAL HEALTH OIVISICN <br /> -- UNDERCRLUND STCRAGE TANK PRCCRAM <br /> FACILITY SITE NAME <br /> Fez WCRKSNEET <br /> A rPF'U t7 FACILITY INTACT NINE <br /> - <br /> ( <br /> SITE PH NE 7 w�iijjth AREA CSE ,�/ <br /> CITY ,� /�i� �-/.�Jrs/ <br /> STATE 2IP CIE } of TANKS <br /> 1 APPLICANT/SILLINO NAME T�C— -> at SITE <br /> APPLICANT CONTACT NAME <br /> L -- <br /> I ."IL NG ACCRESS <br /> .t APPLICANT PHCNE 0 WITH AREA C,OC <br /> CITY <br /> T STA1E 12IP CSE <br /> TYPE e <br /> of APPLICATION <br /> - CLCSURS, IHSTALLATICM, etc. <br /> tI <br /> C <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) 2100,00 TOTAL <br /> I 1986 1987 1988 1989 1990 <br /> TANK FEE . 250.00/TANK S <br /> (Pr Or to JanUery 1,1991) <br /> I ,� ,Fa _ _ _. 1170/TIN[ (Af la,nry 1, 1171 _ <br /> 1986 1987 I9E8 1989 1990 ) <br /> r (mN[Lely &Cpl (sb For 1991 1992 1993 1994 1995 1996 <br /> sari year aLplleablq <br /> I <br /> S[A T'e SLRC.4ARCc . S56.00 each TANK S <br /> 1 _ (Due every S years) See Cali{ornia H d S C <br /> Tode, Section 25287 <br /> I 7 anks x S56.00 1986 thr <br /> I (inter amitnt and year) ouch 1990 <br /> 1991 through 1996 <br /> S <br /> Ps:_v,1NENT CLCSi:RE (Removal or Authorized Closure-In•Pl ace) TANK <br /> '- CLOSURE FEE 553.00 I I.D. $(a) <br /> per hour <br /> (3 hours minis n, per TANK) (.J <br /> g f TANK(s)— X 2159.00 <br /> U TEMPCRART CLOSURE (A one•tlme <br /> R perntt, for review/Inspel: lj) TANK I.D. !(a) <br /> CRISP CONSTRUCTION CO., INC. ' S <br /> WARREN JONES <br /> FIELD ACCOUNT 811 <br /> P.O. BOX 7066 209.730-6381 <br /> VISALIA, CA 93279 <br /> 30 <br /> PAY TO THE 19 <br /> ORDER OF ' }S — tc,4" s <br /> $ <br /> � $ ..ao <br /> � ��OL(ARS <br /> wC Fbat ED ... mate ank S <br /> 010 Main Street <br /> P.O.Boa <br /> Visalia.CAA93 93279-1131 S <br /> FOR <br /> S <br /> CFFICE USE ONLY TOTAL DUE S <br /> ;) 32 raeF 47an11 ft :a.:^.:--_— <br /> Pane 11- -� <br />