Laserfiche WebLink
SAN "AOUIN LOCAL HEALTH DIS--QICT <br /> ` UMRBROUND STORAGE TANK PROBRAN • FEE NORKSNEET"' —� <br /> _ <br /> FACILITY/S)1E NAME FACILITY CONTACT NAME <br /> tf} <br /> Ic l33�T Com &�J , lnc_, nn ll t3 11 ( k"maV) <br /> STREET ADDRESS Si Marl• ,SGS KDGG SITE PHONE 1/7c")� °'•83� � <br /> &I_ STAT .IIP CODE 1 of T`enks_ll <br /> r ctrr S+OI �r(111 5213 ,t site I <br /> A APPLICANTl91LLIN8 NAME APPLICANT CONTACT NAME <br /> P _ Wate-r work, Nano kr�o� <br /> 111411,118 ADDRESS APPLICANT PHONE i 727 I" ""' ' 3� 3rD J <br /> c 1710 1(t <br /> N CITYIDh STAT `15 CODE <br /> TYPE of APPLICATION <br /> C(irsinr2 <br /> tYPE of. PLICATION r tit. <br /> FACILITY FEE = f100,00 each SI1E ADDRESS per YEAR <br /> T �- 1986 1987 1988 1989 � . 1 <br /> 1 <br /> V <br /> E TANK FEE = 130.00 each TANK <br /> f 1 Tanks 1 130.00 1981 1901 1988 1989 <br /> A (wltiory I'by fn for <br /> is each year applicable) 1 <br /> L 5T4TE SURCHARGE + 156.00 each TAMK{A,AI" SAfETY CODE Sec 33287 for applicability) <br /> T 1 Tants r 156.00 7 lies 1989 <br /> IY tenter NN;t and year) <br /> 1 <br /> SRN• ^ <br /> C PERMANENT CLOSURE (Rewral orT�� AtGdEALTH DMS <br /> 0 om <br /> CLOSURE FEE + 00.00 each TANKI cants 1 t MOO 1 9a.ao <br /> U <br /> R TEMPORARY CLOSURE (Only allowed one tilt for up to the years) ---SII <br /> E TEMPORARY CLOSURE FEE = 190.00 each TANK Tanks c 180.00 f <br /> IP PLAN CHECK (Installation or Repair) <br /> L <br /> A <br /> N PLAN CHECK FEE = 130.00 each SUINISSION/RESURNISSION f <br /> (I <br /> REPAIR <br /> RR TAW <br /> AMK REPAIR FEE = 1110.00 each TANK t Tanks s 1110.00 t <br /> E--- <br /> P - <br /> A PIPING REPAMCLOSURE/REMOVAL (fen are per hour, minimum one hour to be pad on plan submittal) <br /> 1 ---- — <br /> R UNAUTHORIIED RELEASE EVALUATION CONSTRUCI{ON INSPECTION SAMPLING INSPECTION <br /> lwhw appliublel Irkw apeliublel (when applicable) <br /> FEE = 130.00/hr f_E = 133.00lkr FEE • 135.00lhr 1 <br /> TOTAL DUE is To-ciQ <br /> Off r6f HE My <br /> SNEEPS I COIF I LOC CODE DIST COO AMOUNT DUE AMOUNT RCVD CNEC /CASH RCVO OY DAIE RECEIVED PERn1T I <br /> dOva 5721FIE= � 70 <br /> e <br />