Laserfiche WebLink
.v SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES \J <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE V'CRKSHEET <br /> !CITY SITE NAME FACILITY CONTACT NAME <br /> BREA AG SERVICE BOB NEWELL <br /> FACILITY ADO0.E55 SITE PHONE # with AREA CODE <br /> 1905 N. BROADWAY 209-547-2600 <br /> r <br /> i CITY STATE ZIP CCOE of TANKS <br /> Y STOCKTON CA at SITE 2 <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P <br /> WARREN E. GOMES EXCAVATING, INC. WARREN E. GONES <br /> I MAILING ADDRESS APPLICANT PHONE # KITH AREA CODE <br /> 707-374-2881 <br /> N CITY STATE ZIP CCOE TYPE of APPLICATION <br /> T RIO VISTA CA 94571 CLOSURE, INSTALLATICN, etc. CLOSURE <br /> TOTAL <br /> A <br /> C 1986 1987 1988 1989 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) = S100.00 <br /> 1 S <br /> V <br /> TANK FEE = S50.00/TANK (prior to January 1,1991) 5170/TANK (after January 1, 1991) <br /> F : Tanks = 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> A (suttipty ft byby tee S <br /> for <br /> C each year applicable) <br /> I <br /> L STATE SURCHARGE - $56.00 each TANK (Due every 5 years) See California N 8 S Code, Section 25287 <br /> I <br /> T : Tanks_ x $56.00 1986 through 1990 1991 through 1996 <br /> Y (enter amotnt and year) <br /> S <br /> PERMANENT CLOSURE (Removal or Authorized CLosure-in-PLace) TANK I.D. #(s) <br /> C <br /> L CLOSURE FEE = S53.00 per hour (3 hours minimus per TANK) # TANK(s) 2 X 5159.00 - = 318.00 <br /> % VISTA <br /> en E Go OF <br /> 0016227 <br /> XCAVATING,INC. @s NO VistaCame." <br /> 5 <br /> RACTOR'S LIC.279646 <br /> <br /> iSTA.CALIFORNIA 94571 ^^ <br /> (707)374-2881 1 <br /> ! G <br /> WARREN E.GOMES <br /> E.MONETT GOMES <br /> S <br /> ..........................1........................ ....................1........................ _ .1.. .. l .i_ � ......... I �5..:.1?.-a1........Y <br /> sasr,asrmarasa�soa�rasarrassrar arsa�nraaer rarsar rrassisraras�arrrraissra�r airs:ra.isis—mv mw.sr..wrap <br /> EH 23 032 tREJ 1/10/911 Pt Pace 11 <br />