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5.45C <br /> PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM <br /> UGST BILLING AUDIT <br /> DATE: ,111/,07/91 <br /> � <br /> SITE NAME: t/Ni,6G� � <br /> /7SWEEPS #: <br /> ADDRESS: �I -729 67jvc-I—ZJ) COMP #: <br /> � i6A yf37/ MISC <br /> # TANKS # TANKS UNAUTORIZEDADOITIONAL TOTAL <br /> ACTIVE STATE # TANKS # TANKS # TANKS PENALTY # TANKS PIPING RELEASE AMOUNT AMOUNT <br /> YEAR TANKS SURCHARGE CLOSED INST TEMP CL APPLIED REPAIRED REPAIR INVESTI PAID PAID <br /> rrr+r+rrrrr++:+rrrrr rr»f e+»»rr+rr:rrrrrt:trrererff»rrffr»rr»:f rrrrrf rrrartrf:++r»:rrrrrrtftrrrt+r»trfe+r+»rf f rfrrrrr rr tr» <br /> 1986 <br /> 1987 _ <br /> 1 <br /> 1489 <br /> 1'940-- <br /> 1991 <br /> lyyz <br /> 19931994 <br /> L <br /> 1995 /B�c� ----- ------TOTAL 0 0 0 0 0 0 0 0 0 0 SO SO <br /> UNAUTORIZEDADDITIONAL TOTAL <br /> STATE UGT PENALTY CLOSURE INST TEMP # TANKS PIPING RELEASE AMOUNT AMOUNT <br /> YEAR SURCHARGE FEES FEES FEES FEES CLOSURE REPAIRED REPAIR INVESTI BILLED BILLED <br /> ++rrr+r+r+r»rer+»rrfr+r+rrfrr+»rfrrrtffrf»t+:rtt:r+mfr+++rrfreert»tretrrrrrffrrrretre++erf+r++»++rrtfrt+ar:rf++:ett++rr+fee <br /> 1986 SO SO SO SO SO SO EO EO <br /> 1987 SO $O EO SO SO SO $0 SO <br /> 1988 $O SO SO SO 50 SO EO EO <br /> 1989 SO SO EO SO SO $O SO SO <br /> 1990 SO EO SO SO SO SO SO SO <br /> 1991 $O SO SO SO SO SO SO 50 SO SO SO <br /> 1992 SO SO EO SO SO SO EO SO SO $O $O <br /> 1993 EO SO SO SO SO SO SO SO $O SO $O <br /> 1994 SO $O SO SO SO SO SO SO SO SO SO <br /> 1995 SO 50 SO SO EO SO SO----_--- $O-------- SO-------- SO so <br /> TOTALSO $O SO EO EO $O SO SO SO $O SO <br /> TOTAL AMOUNT DUE SO <br /> �► r <br />