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5.45C <br /> PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM <br /> UGST BILLING AUDIT y j� <br /> DATE: 11/07/91 'GYN �/ <br /> SITE NAME:lqQyI'J1rNe� /'[N/�P�SWEEPS #: ��� r0 OL r c1pe 1�P{11Q <br /> ADDRESS: 9.ZS I S. G IT l�C�COMP #: qL, IF 7� <br /> MISC <br /> # TANKS # TANKS UNAUTORIZEOADDITIONAL TOTAL <br /> ACTIVE STATE # TANKS # TANKS # TANKS PENALTY # TANKS PIPING RELEASE AMOUNT AMOUNT <br /> YEAR TANKS SURCHARGE CLOS�D INST TEMP CL APPLIED REPAIRED REPAIR INVESTI PAID PAID <br /> ttr+tr+txrxxxtxx+xr+xxx+tx+txtxx x,�xtxxtxxrxx�atx+tr+t+trxtxtxxxtx+x+xxtxxxxxx#ttttxtxx xx+x+tx++x+xxx+xx+tx+xxxtxxtxx+xxx+xx++x <br /> 1987 T <br /> 1988 <br /> 1989 i HER K <br /> 1990 <br /> 1991 <br /> 1992 <br /> 1993 <br /> 1994 <br /> 1995 ------------------------ <br /> _______________________________________________________________________________________ <br /> ------------------ <br /> TOTAL 0 0 0 0 0 0 0 0 0 $0 SO <br /> UNAUTORIZEDADDITIONAL TOTAL <br /> STATE UGT PENALTY CLOSURE INST TEMP # TANKS PIPING RELEASE AMOUNT AMOUNT <br /> YEAR SURCHARGE FEES FEES FEES FEES CLOSURE REPAIRED REPAIR INVESTI BILLED BILLED <br /> rrrx+txr+rx+ttx+xr++rxt+x+tx+xrx+x+xx+xxtx+xtxxx+xx+tx+t+rx+xx++ttt+txttx++x+xx+tttxtxt+tt+xx+xt+tx+x+txx+xx+txrxxxtxx+xxxtx+xx+txx <br /> 1986 $0 $0 SO SO SO SO $0 $0 <br /> 1987 $0 $0 $0 $0 $0 $0 $0 $0 <br /> 1988 $0 $0 $0 $0 $0 $0 $0 $0 <br /> 1989 $0 $0 $0 $0 $0 $0 $0 $0 <br /> 1990 $0 $0 $0 $0 SO $0 $0 $0 <br /> 1991 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 <br /> 1992 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 <br /> 1993 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 <br /> 1994 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 SO <br /> 1995 $0 SO $0 $0 $0 $0 $0 $0 $0 $0 $0 <br /> ---------------------- <br /> TOTAL $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 <br /> TOTAL AMOUNT DUE = i0 <br />