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COMP #: �ACY_Q 13 <br />SWEEPS: j� 3 S <br />FACILITY <br />FACILITY <br />BILLING <br />CITY: <br />UNDERGROUND TANK <br />BILLING STATEMENT <br />NAME: �1CY� 7C <br />ADDRESS: V 3 7 S\� �tnE F�C� <br />ADDRESS: <br />ZIP: <br />TOTAL # OF ACTIVE TANKS <br />AT SITE: <br />YEARLY FEES: <br />PERMIT ISSUED: <br />ANK # <br />SIZE/CONTENTS <br />DATE <br />SURCHARGE PD <br />SURCHARGE <br />DUE <br />NEW <br />TANK <br />TANK <br />REMOVED <br />DATE <br />DATE <br />SURCHARGE <br />RELEASED <br />#1 <br />#2 <br />s -yc <br />#3 <br />5 -9C <br />#4 <br />#5 <br />#7 <br />V#6 <br />#8 <br />#9 <br />#10 <br />C <br />* Total State Surcharge Due:° Pay this amount. <br />Tank Fees: $100.00 per site 30.00 plan check <br />50.00 per tank 35.00 per hour inspection <br />56.00 State Surcharge 5 yrs 52.50 overtime inspections <br />90.00 closure fees per tank <br />* State Surcharge due this year <br />EH 23 0 10/89 ACCOUNT RECORD <br />