Laserfiche WebLink
SAN J OUIN LOCAL HEALTH DIS'VWICT <br /> U11110GROUNG STORAGE TANK PROGRAM - FEE WORKSHEET <br /> F FACILITY/SITE NAME FACILITY CONTACT NAME <br /> A Ceco Building Corp <br /> C Gerry Gandt <br /> I <br /> STREET AGGRESS 12101 E. Brandt Road SITE PHONE 1 (with Area Code) <br /> T 209 727-5504 <br /> Y CITY STATE TIP CODE 1 of TANK'S <br /> Lockefotd CA 95237 at Site 4 underground tanks <br /> P APPLICANT/BIlLIN6 NAME Ceco Buildings Division APPLICANT CONTACT NAME <br /> L The Ceco Corporation Gerry Gandt <br /> I MATTING ADDRESS <br /> P. 0. Box 830 APPLICANT PHONE 1 (with Area Code) <br /> C <br /> A (209) 727-5504 <br /> 1 CITY Lockeford STATE TIP CODE TYPE of APPLICATION Tank Removal <br /> (Closure, Installation, etc.) <br /> rk ITY FEE = 1100.00 each SITE ADDRESS per YEAR TOTAL <br /> 1986 1981 1980 1909 <br /> f <br /> FEE = 150.00 each TANK <br /> ks x 150.00ipTy-I-by lee foryear app)a able)SURCHARGE : 156.00 each TANK. (see CA HEALTH f SAFETY CODE Sec 25281 for applicability) <br /> ks x 156,00 1986 1987 aiaNt and year) <br /> f <br /> C PERMANENT CLOSURE (Resoval or Closure-in-place) <br /> L <br /> 6 CLOSURE FEE x 190,00 each TANK 1 Tanks 4 _ x {90.00 f 360.00 <br /> U <br /> R TEMPORARY CLOSURE (Only allowed_one_tiee_for_UP to two Years)_ <br /> RICH - MART 10424 <br /> JIM THORPE. DISTRIBUTOR OF QUALITY PRODUCTS <br /> 368-6175 462-4581 <br /> 351 NO. BECKMAN ROAD, P.O. BOX 357 <br /> LODI, CA 95241-0357 /7 ^� <br /> PAY <br /> TOTAL TO THE o <br /> ORDER OF $ �6O <br /> OixouNT �7/ <br /> i N a <br /> I.MOVNT Oi CNCCN <br /> __DOLLARS <br /> LQIt��,l>t i�.01L <br /> LODI OfFICE <br /> IN W.W.I.Ul St,LWT.CA 94W <br /> TIM <br /> OFFICE USE DAY <br /> SWEEPS 1 COMP 1 LOC CODE DIST CODE I AMOUNT DUE AMOUNT RCVD CHECK WASH RCVD BY DATE RECEIVED PERMIT 1 <br /> 10112— <br /> , d <br />