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SAN JOAoU1N COJNTY PUBLIC NEALTN SERVICES <br /> ENVIRONMENTAL NEALtII DIVISION <br /> UNDERCROIND STORAGE TANK PROGRAM - FEE IKRKSMEET <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> P JA M.L. Grenz <br /> Richard Thorpe <br /> C SITE PHONE I with AREA CODE <br /> .I FACILITY ADDRESS 6540 E. JahaUnt Rd. 20 _ <br /> I STATE 110 CODE N of TANKS <br /> T CITY Acampo, Ca 95220 at $ <br /> ITE 1 <br /> A APPLICANt/81LLING NAME APPLICANT CONTACT NAME <br /> F e Same as above Richard Thorpe <br /> t.t 1 MAILING ADDRESS APPLICANT P"I! I VITT! AREA CODE <br /> c C same as above <br /> A <br /> STATE ZIP COIF IYPE of APPLICATION <br /> i T cliY C1.05URE, INSTALLATION, ate. Removal <br /> 1 <br /> I TOTAL <br /> r A <br /> C 1986 1981 1988 1989 1990 <br /> r I ANNUAL FACILITY FEE (Prior to January 1, 1991) • 5100.00 5 <br /> r I Exempt Ag. Tank <br /> V <br /> a E TANK ME 550.00/TANK (prior to January 1,1991) 1117 TANK (after January 1, 1991) <br /> I <br /> i F I Ter4;S 1986 1987 1988 19119 1990 199) 1992 1995 1994 1995 1996 <br /> A (MlItIrt; I Uy-fee For <br /> I c each year applicable) 5 <br /> I I <br /> I L STATE SURCHARGE > 556.00 each TANK (Due !very S years) See California N S S lode, Section 25287 <br /> t <br /> I 1 I Tanka R $56.00 1986 through 1990 199) through 1996 <br /> r (enter arrant and year) 5 <br /> PERMANENT CLOSURE (Removal or Authorlted Cleaura-In-Place) TANK I.D. 5(0 <br /> C <br /> L CLOSURE FEE a 555.00 per hour (S hours mini" per TANK) R tANK(a) 1 N 5159.00 5 159.00 <br /> 0 - - <br /> U TEMPORARY CIOWAE (A ane-time permit, for review/In9p8ctl0M11 _ <br /> ) TANKI.b. I(ff__ <br /> E TEMPORARY CLOSURE FEE_• SiSQ.DO�•-�- --` -- .VIII Q ? fool 111"19 <br /> MART AL11V PROD &SAN JOAQUIN COUNTY <br /> ;„...•.o,.�ow,ryHEALTH 5,,-�i/I <br /> 462-458190- <br /> JIM iHORPE. OIg388U15p OP dU -`I ,f.l <br /> 6l4ME�'V T.AL HEAL In � <br /> 351 MO. BECKMAN ROAD, P.O. 80X 357 <br /> LOO1, <br /> CA 95241-0357 19 -. <br /> 7pTME oC• <br /> ORDER OF �r- DOLLARS <br /> — <br /> .rnNM�o/cr.rc. t�-11QQ„4G i <br /> Lam <br /> 11r W.WYrnaIeJ.Glairt __-- <br /> ——�--- ---- <br /> TOTAL DINE ---5 r — <br /> NOW <br /> ,'RC C:Y S•S.Yw"AiiSit.Cw.rWiiYiiw>'7riw"wCr ,SS:,Yi"N.,YiSiiinYiYli">1YRY wu iiTiii ,iTit ,GYiA,'YGiCiAiiP. ."4 <br /> Imo— 5 ci.Ou I 1 -719 1om— I X q <br />