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000 PAYMENT <br /> RECEIVED <br /> AUG 11 1992 <br /> LIALS COUNTY HEIH ICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> !AN JOAOUIN L C EALiH tWitES <br /> ENVIRONNENIAL NEI( DlVtllall <br /> „_ .UNOEACA(ANro STdGCE ANK Ron FEE IbkkSHEEt <br /> FACILITY site NAME FACILITT CONTACT NAME <br /> L9EOp-ElEE/uIE►2 �tiL i P. hu11�►2 <br /> `i f11cIL1TY ADORE!! ITE e E � tA EAQ�E <br /> ttt►fib`"w 11A E IA COOS 9 'if JA II <br /> P A 1,'1 1'1At1 No NAME AeeLItUt tNtACt MANE <br /> 1 NA L►Na A0DRE1! l 116111 <br /> C � , PL E ! WIN AREA CODE <br /> A Cltl — 3 <br /> T t) qty !t re esc00E 1 �igsu� : ALil°i'w, /te. lo$Lt Atm <br /> A .._..._. ...._..__.,,_ .. t01AL <br /> ANNUAL WILItt fit (Pr1ef to JbUo 1, 1091) ! !100.60 14!16 1911 tote 10" 1090 <br /> E YANK FEE A^•- 150.00/LANK (pial, to JY11Aty 1,1991) ! 0/tANk <br /> (sftlf J6hUAry_ 1, 1991) <br /> A rouiirplK IIts �f ks a19!6 loa 190! 1919 1990 .1991 1992 1993 1996 1495 1096 <br /> I. STATE IANICHAROE . 156.00 MIN tANt (flue ava"5 ytSH !W elllfeFMl/ N A I e6a, !loth! 25281 <br /> 00 <br /> 0,J �f1A3tltlAr,asyse�fl 1 lNFtNg11 1 199 t fetgh 1. . <br /> eER11ANENtCLOTURE (RIRIeWI eF Autheflleo Clesurl-Wilt eU TAt 1.6, !(!),.._.... <br /> L tLOSURE REE I 13!.00 PIF IIOW (3 WTI RIMw! pIf SARK) / TARK(11) <br /> S x 1159.00 O <br /> A TEMPORARY CLOSURE (A e+lr tln fi14 ref feVllullnlf Sieh!) fAlt <br /> P�. , t <br /> ETENPORARTCLOSURE itE ! 1130.O0 111th Wit 1 tANK(q 1150.011 • ! <br /> P PUN CHECK (t1i4111. PlN R1V(IV ! "!fuetIM IMpltkle111) TARx 1.6. !(11)_x.. <br /> L <br /> A <br /> N PLAN [NECK SEE = lSi.00 pef htuf (! heUFl NiRItASA p!f 111till4y) „!, !624.00 eIRIRUR ! <br /> R REPAIR FEE (NDtkpIW NVIIN ! tdNtrtfitleA IMpMtitNU) YANK L0. !(I)_,... <br /> E - <br /> TANK REPAIR PEE A 153.00 pet heut (3 hi t! llhIKWtANK) ! TANK(/) <br /> A <br /> I <br /> R PIPING REPAIR ftE ! 153.00 plr Mout (3 hour NInIRIu.plf l/elllty !130,.00) <br /> N TRANSFER FEE • 920.00 UM 1101120 RELEASE IVALUAtION a 133.00/hf <br /> c CONSULTATION Fee.& 953.00/hh I I lAAPLIRO INSPECtIdI fEE ! lS3.00/hf <br /> totAL OM <br /> it <br /> EN 23 032 (Reviltd 6/8/91) Pole 11. <br /> E or I '1 <br />