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—I- mill6 l fx YR 1"{ - tXVINU MENTAL E <br />t110ERf7lWp SfMArE TAB PRIGRAM - FEE WOMMW T <br />Si <br />l <br />PACIIIn SITE NAME <br />2 <br />ACILITTL,TAq�RA <br />THERESA <br />T <br />PtPtNG 2EPAIR FEE a 27E_00/har C3 hours ainiaa/FACILM) . SZS;-00 Miniar <br />I"I. "IARLMEER <br />E <br />FACILITY AC ESS <br />/5 E. ALPINE AVENUE <br />SITE PRONE r with AREA CODE <br />NONE <br />5 <br />A <br />Gln STOCKTON I STATE <br />ZIP CODE <br />r of TANKS <br />95204 <br />■r SITE FOUR <br />P <br />IRILLING RAPE <br />APPLICANTAM <br />THERESA M M. M4RLER <br />.�w A� <br />I HERESA <br />!'l4RLER <br />C <br />NAILING � <br />.JANTA CRUZ, #1233 <br />FNAPPLICANT ONE r WN AREA CODE <br />R <br />TI <br />CITY Los 6ATOS <br />MATE 41 TYPE TYPE Of APPLICATION <br />CA yj �51�f1 <br />(Cto•uro, Irot•Lt•tim, etc.) CLOSURE <br />CI PERMAMENT CLOSURE (Reeovel or Authorised Closurvir ivtace) TANK I.D. !(s) <br />L <br />D CLO.SIAE ;fE . M.O0/hour (3 hours Minianab TANK) I ! TAB(SI X 3234.00 . 2 <br />S <br />U TENPONART CLOSURE (Ptah Review d Inspectiaa) TANK I.D. Ke) <br />t <br />E IEIi@ART CLOSURE FEE a 37E.00/hour (3 har5 MinieA IFACILITT) 5234.00 minium 2 <br />PtRSTALIATION P -AM CAECS (Peen Review 5 CaratruCtim IMSpaetiens)I TANK [.D. !(s) <br />L <br />A <br />R PLAN ❑EC FEE • 37E.00/hour CL hat! Min INAUFACILITY) . 2624.00 Minimum 2 <br />21 REPAIR FEE Cwwkptm Review i Construction I/apeetiora)I TAB I.O. x!) <br />E, <br />NK <br />P TALINING 2EPAIR FE -c . 2711.00/bour (3 Z;; ainiaaRAB) , IF TAMS) K 27}4.00 a <br />A <br />2 <br />( TAM[ RETROFIT REPAIR FEE a S7E.00/barr (3 hats afn./FACILITY) = SM.00 a)niaja <br />R <br />S <br />PtPtNG 2EPAIR FEE a 27E_00/har C3 hours ainiaa/FACILM) . SZS;-00 Miniar <br />S <br />N' iRANRFEIt :[:< =220.00 <br />1� <br />SI <br />Q719aLTAT1C]1 TEE . ]71S.DOlAr <br />U AUTRORIZEIS 2ELEA2E EVAUTATION . 27E.00/ttr <br />SANPLIMG INSPECTIDN FEE a M.00/hr <br />S <br />2 <br />TOTAL DIE S q36 <br />rAEPS t ' =MPUTER Y LOC CODE I DIST CON AMOU)t 2EC�IVED CHECK S/CA$N ( REC's IVSD 37 I DATE 2ECEIYEL <br />In 23 032 (REVISED .0-2B-93) Page LL <br />