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_..__. ,. .,►,.„„� ,nrwi rRwann - ret Mi1KKbH(�Et '� <br /> TE NAME FACILITY W& NAME <br /> T ADDRESS i SITE PHONE 1 With Area CWW <br /> t O� <br /> CITY SIATE IIP CODE 1 of TANKIS <br /> S cowC � S.�UC¢ at Site <br /> A APPLIfiAN118l11[N8 NAME <br /> p APPLICANT NAME <br /> L iM,GQ <br /> HAILING ADDRESS APPLICANT ?NOME 1 With Area Code) <br /> A 31 (.0 2-O ei— <br /> N CITY <br /> T ��DO��"TV SATE I1P CODE TClcsuie,�ln tillition, etc.) <br /> A FACILITY FEE _ 1100.00 each SITE ADDRESS per YEAR <br /> TOTAL <br /> C <br /> r 1986 1981 1988 1989 <br /> I <br /> V <br /> E TANK FEE _ 150.00 each TANK <br /> F 1 Tanks 1 150.00 198b 1987 1988 195 <br /> A (.ultipri'Pby fee for 9 <br /> C each year applicable) . a <br /> L STATE SURCHARGE ■ $56.00 each TANK (tee CA HEALTH l� SAFETY CODE Set 25281 for applicability) <br /> T 1 Tanks x 156.00 1486 .1987 1968 1989 <br /> Y (enter iiauit and yet?) <br /> C PERMANENT CLOSURE (Resoml or Closure-alt-place) <br /> E <br /> O CLOSURE FEE _ ;90.00 each TANK <br /> 5 1 Tanks__ <br /> U __ z <br /> E TEMPORARY CLOSURE (Only allowed One 1141 for up to two years) <br /> TEMPORARY CLOSURE FEE $80.00 each TANK 1 Tanks z 1$0.00 <br /> r.rr� <br /> P PLAN CHECK (installation or Repair) <br /> L <br /> A <br /> N PLAN CHECK FEE = 130.00 each 5tl$NISSION/RESUINISSION <br /> REPAIR <br /> P <br /> P TANK REPAIR FEE = $110.00 each TANK 1 Tanks_.»w x <br /> P[PtH& REPAIR/CLOSURE/REMOVAL (Fees <br /> R Art! pet hour, linieue One hour to be paid on plan subeittal) <br /> UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION SAMPLINO <br /> (when applicable) INSPECTION INSPECTION <br /> FEE = 130.00/hr FEE A $33,001hr FEE = 135►00/hr <br /> TOTAL PAOFFFCF Ulf ONIF <br /> 1 QD ao <br /> SWEEPS 1 COMP I LOC CODE 013f COOP AMOUNT DUE AMOUNT RCVD H CASH RCVD 8Y DATE RECEIVED PERMIT 1 <br /> 32 �a,cro gyp, /i3 <br /> � c <br />