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NDERGROUND STORAGE TANK PROGRAM -FEE NORKSIIEET <br />F (ACILITY/SITE NAME <br />A FACILITY CONTACT NAME <br />�7— LOU `SCl�c�n L <br />W1 <br />CITY <br />STATE 11P CODE <br />APPLICANTADILLING NAME <br />IL1NG ADDRESS <br />IIP CODE <br />tNGINEERING TELIC ENGINEERING CORPORATION <br />CORPORATION 287 N. Cardinal Avenue P.O. Box 2076 <br />Stockton, CA 95201 209/465-2000 <br />tY NINETY 6 00/100 <br />TO <br />THE <br />OHOER r .SAN.JOAQUIN.LOCL. <br />OF LOCAL, DISTRICT. ... <br />(with Area Code) <br />Q'a I—^e <br />1 61 TANKIS <br />at Site <br />ICANT CONTACT NAME <br />APPLICANT PHONE I (with Area Code) <br />TYPE of APPLICATION <br />(Closure, Installation, etc,) <br />XJuly IB,V •I 89 522 <br />19_ <br />_DOLLARS „P, 90.00 <br />90414WI211 <br />L <br />PACIFIC TELIC ENGINEERING CORPORATION <br />246 East Main St.STATE /S ockton, CA 95202 <br />O((TC( Osr oyt (C 0 TOTAL DOE t n O) <br />SWEEPS 1 COMP I LDC CODE DIST CODE AMOUNT DILE AMOUNT RC40 <br />°` _HEC CASII RCVD DV DATE RECEIVED PERMIT I <br />�T�7pgro�'gq prat 76 t �i 3Zz- isoqU Is2z _(y� <br />lJ UJ[ a SSa�M)RTMRIRIRT�nww .s_�.__ I C.� <br />