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! LILITY/SITE NAME �' FACILITY CONTACT NAME PAYMENT <br /> r/ City of Tracy Firestation #2 Don 'I,?son RECEIVED <br /> / . I STREET ADDRESS <br /> 1 SITE PHONE 1 area sari case SEP <br /> I 311 Grantline Rd. (209 )b35-9712 <br /> Y CITY <br /> Tr.:cy STATE IIP CODE 1 of Tinks ENVIRONh1 * <br /> CA 95378 at Site one .. 1 ) AE H <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT HANE <br /> P •pry. <br /> L C ty of Tracy Do 2:; '✓F, <br /> I HAILING ADDRESS APPLICANT PHONE <br /> 325 lon St . clew macs coo[ <br /> N CITY (209'236- 1640 <br /> 1 :rscy � STAT IIP'CODE TYPE of APPLICATION <br /> CA gars. Closure <br /> FACILITY FEE • 1. -- _ _-- <br /> A --- _._. _. ':.'�aY.w•ou.. ,.4s..ws..a�awc..-�wwmsu..-.� <br /> SEMCO <br /> I TERRY HAMILTON. PRESIDENT 1496 — <br /> I RICHARD C. HAMILTON, V.P. •��j Qp <br /> k ---�_ PH. 200-524-9853 —Q 0 O 7 <br /> E TANK FEE • 150.1 431 W. HATCH ROAD 19— <br /> �MMODESSTO, CAS )95351 <br /> r 1 inks 11T o ORDERO'AY TO HE:_-Ka — 42, � ^/ <br /> A (mUltlpty 1 by it 6 ORDER Of , $ /Or C>0 <br /> euh year ippllc <br /> <.f ____DOL LA R 5 <br /> L SLATE SURCHARGE • 5 UNIOM SAFE <br /> I �F!R1,� DEPOSIT <br /> I 1 Tanks a f5 DANK <br /> Y (enter iioYnt +Od .c/a'o�e,«n..,.�e��u,CA <br /> HfIA(L(� OF/[.4 �/ _ <br /> -J <br /> C PERMANENT CLOSURE <br /> 0 CLOSURE FEE • t9hww ••u, ,tl1L <br /> U 1 Tanks__ a 130.00 <br /> 1 40 :00 <br /> R TEMPORARY CLOSURE (Only illoued one time for up to two years) <br /> E <br /> iEMFORAP,Y CLOSURE rEE a 1D0.00 each TANK <br /> 1 Tanks : 100.00 <br /> P PLAN CHECK (Installation or Repair) <br /> n <br /> ENT <br /> 11 PIAN CHECK FEE • 170,00 each SUBMISSION/RESUDMISSI011 c <br /> — REPAIR <br /> F. TANK REPAIR FEE • 1110,00 each TANK ENVIR <br /> F — — 1 iankt s (1 P <br /> 10.00 T�SI;RViLtS <br /> A PIPING REPAIR/CLOSURE/REMOVAL (Free ire per hour, minimum one hour to be paid on plan submitt+l) <br /> I — <br /> R UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION INSPECIION <br /> (when applicable) (when applicable) SAMPLING IIISPECTION <br /> _ (when applicable) <br /> FEE • 190.00/hr FEE • 195,00/hr _ <br /> Orrief PSF OILY TOTAL DUE 1 90 . 00 <br /> Cil DIN D�p� � III <br /> MMM . 7I I . <br /> SWEEPS 1 COMP I LOC CODE DIST CODE AMOUNT DUE AMOUNT RCVD CHECK ORCyp�BY DATE p,EfllCE�l®0 pERM11 1 <br /> _ _ wlo+iv�utool� <br /> --___ — <br /> �f�'�'��v �v�� �� �om�� � I;;r�cuui�ou���u ouo��ul�ulovu��llauu�tuul� � �I�amiuwlo�uutm�lou ' <br />