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's*.�+.i;rn�R rRvaRnlr TQ >�1WtItCr <br /> TE:" NE <br /> FACILITY 0011 <br /> T ADDRESS <br /> SITE. PHONE I With Area Code) <br /> Qd <br /> C1TT STATE IIP CODE I o1 TANKIS, <br /> Oc R .zOCa at Silo <br /> A APPLICAWBILLING NAME <br /> P APPLICANT CIl1iTAC; NAME <br /> I MAILING ADDRESS <br /> C 3 I 1� APPLICANT PHONE I With Area Code) <br /> A zoej— <br /> CITY SATE llP COD <br /> I E TYPE of APPLICATION <br /> v o 4 C SITU (Closure, Installation, etc.) <br /> FACILITY FEE ■ 1100.00 each SITE ADDRESS per YEAR <br /> A TOTAL <br /> T 19166 1981 1998 1989 <br /> I <br /> V <br /> E TANK FEE = 150-00 each TANK <br /> F 1 Tanks 1 150.00 19$6 1981 1988 . 19gg <br /> A Imultipli'll y fee lar <br /> SEMCO <br /> TERRY HAMILTON, PRESIDENT j.13 <br /> RICHARD C. HAMILTON, V.P. <br /> 431 W. HATCH RD. 209-5249653 r <br /> ODESTO, CA 95351 �`y <br /> PAY TO THE 19 r 90-373211211 <br /> ORDER OF A ' <br /> g0 00 <br /> _ +7� <br /> S 1 O MCHENRY OFFICE DOLLARS , <br /> JRr77K�,, 1K{�r� )(5277 <br /> 2008MCHENAYAVENUB <br /> L MODESTO,CALIFORNIA 95352 <br /> REPAIR I <br /> E TANK REPAIR FEE 1110.00 each TANK <br /> p 1 lams--- - <br /> - s 1110.00 i <br /> A <br /> ! PIPING REPAIR/CLOSURE/REMOVAL )Fees are pet hour$ einleu/ 6ne hour to be paid on plan submittal) <br /> R <br /> UNAUTHORIiED RELEASE EVALUATIONCONS1RUCtI(W SAMPLING <br /> (when applicablr) INSPECTION INSPECTION <br /> FEE = 130.00/hr FEE 133,00lht FEE : 135.00/hr 1 <br /> TOTAL.DUE i Q�ore,QFF►CF USF oNlr . <br /> SUCEPS 1 COMP I LOC CODE DISC` E00t AMOUNt DUE MOUNT RCYI - /CASH RCve IY DALE RECEIVED PERMIT 1 <br /> 3� lo,ov V)31=7 <br /> J <br /> Mgv- <br /> 44 <br />