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HE FACILITY COHfACi NAMEJ <br /> VAME Saw and IcidusLria' StlfYply John Doucet' <br /> ! <br /> 1204 E. Main St. SITE PHONE # with AREA CODE <br /> (2U ),948-6735 j <br /> ,rr [SrAIF[lqlP CODE R o/ TANKS <br /> Stockton 5205 at SITE 2 j <br /> 'rLICANT/RILLINn NAME ! <br /> _ Same as above APPLICANT CONTACT NAME <br />_ i <br /> - - same as above <br /> f.lilNr, ADDRESS - <br /> ^0I MART P-"ONE 1 WITH AREA CODE <br /> ITv - , <br /> ::::�9152 <br /> TYPE of APPLICATION <br /> (Closure, Installation, etc.) R <br /> unoval <br /> TOTAL <br /> IlUAL FACILITY FEE (Prior to Janunry1, 1991) 2100.00 1986 1987 1988 1989 1990 f <br /> Clkl lY rFNALTY FEES ASSESSED (If App((cab(e) xxxx xxxx <br /> s <br /> ftK rEF + 15n.00/TANK (Prior to Jmmlery 1,1991) 2170/LANK (After January 1, 1991) <br /> for.4+ 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 i <br /> vltIrl Y s by lee for � <br /> rh y.+r arnlieeble) + <br /> . 1 <br /> IK PEIIAL FY FEES ASSESSED xxxx xxxx <br />:TE SIIRCNAROE w 256.00 e8ch TANK (Due every S years) See Call(ornie N b S Code, Section 25287 i <br />'en4s__2— x t56.00 1986 through 19901991 through 1996 <br />.t!r amount end year) <br /> tA1tEUl CLOSURE (Rem!ova( or Authorized Closure-in-Place) TANK I.D. I(s) <br /> "IRE FEE f 278.00/hour 0 hours m(nTmue/TANK) / TANK(s)_p_ X 5234.00 � 2 <br /> 468.00 <br /> 7RARY CLOSURE (Pion Review 4 Inspections) TANK I.D. R(s) I <br /> 4410 <br /> nIimm/TAN:KK) R TANK(s) X 5234.00 ■ 2 <br /> � > <br /> tion Inspections) TANK I.D. A'(s) <br /> INC. 441 1 ' 2624.00 minimum s <br /> ODUCTS <br /> 462-4581 TANK I.D. R(s) <br /> i <br /> A9 i 9Z3 90-844/1211 0 TANK(s) X .5234.00 a s <br /> 5234.00 minimum 2 <br /> _ $ �a5% <br /> _ � 2234.00 minimum <br /> OLLARS p <br /> riots 578.00/hr ! <br /> Ij � 278.00/hr 2 .I � <br /> j TOTAL. DUE 5468.00 ' <br /> 1 Pi 309115 <br /> II '!9^iFtikTfif!IT.!Il. n!!rt'ni.9nt!Illll!1.7!nRTRI1f�1!�!!+n 1 i <br /> vii wt. !„•r• s!!+n.!n!m!�;!n!ner;d! .m nL!!li! aloTii"u�ro!!r IMP <br /> !!nd!er! n!!i <br /> CHECK /CASH RECEIVED 9Y DATE RECEIVED <br /> Y.�L2 * ' <br /> . . ttn <br /> . rsmm.•:•mr �ai:75a'_.'•..�_•n i'iomii_rIN .y�npli!nCI1 R'L'.Tn7117iR:9. <br /> ' -q- J!- �nF3P!nBune� i n�!SAPJi11'•0 t }I.I n' ntn 6�ilw�n f ohm' I�it�n <br /> (REVISED 11-1-92) <br /> 1 <br />