Laserfiche WebLink
SAM »CAcUIX =MTT PUBLIC HEALTH SERVICES - -r-4vrRCWMeTAL HEALTH 3LVSIC9 <br /> fma NO STORAGE TANK PROGRAM FEE %ORKSHIEET A <br /> S; .:AC.L.'—i S i TZ NAME C-"W'MIE <br /> ,--ACIUTY =NTA <br /> I; elchert Son, Inc. <br /> Si <br /> —,= P&MIE * -4i-7: AREA =F- <br /> :AC:L!Tf AOORESS <br /> 12o Frcnl< West Circle- <br /> 9 =E <br /> 3c 3 <br /> t-mi<tot) <br /> At : CA IqSq-00 <br /> APP�..,CAXT ---NTAC- 4AME <br /> P, Apqe.ICANT/'l31L-4G 4AME <br /> -Te-i che Cl- E S®n I n C Geor!ae <br /> Tccicemori <br /> AP9!.!CANT A4CHE I 41TH AREA _=EC: 4AIL.14G AODRESS <br /> At PC). SO)< IS(DcQ- <br /> STATE; 7!? =F- 77PIE zir AIPCILXA-1:01 <br /> T C i V, :C.JSUr®. :nsc3kacicn, et=-) Inst-ctil I <br /> 5ocroiry)ewrc ICA • qfeS� <br /> =AL <br /> :986 :987 1988 i *989 '990 <br /> ANNUAL :3 -anuary "991) (XXX xxxx axxxxxx <br /> At <br /> xxxx xxxx xxxx xxxx S txxxxxxx <br /> AC:L!-:y ;ENAL7Y <br /> 'AHK 550.30/TANK ,?riar :z artuary SIM/TANK ',A --r ;anuarf <br /> :9(;& :995 '96 <br /> :988 :989 :94Z 7993 97. '98 '91 <br /> 7anx:s <br /> '-nut—ciy I --Y <br /> At zac.1 year 3001iC30ke) i xxxx -wx UXX XXXX <br /> TANK ?SNAL-7 11LXXX x=x I xxxx :0= -xxxx <br /> SURCHARGE TOR ,i6tj zAC:L:7:-=S -�W-= $10 -00 /a. ub <br /> STATE <br /> "988 �trougn 993 coo) 1994-1997(56) 1998($8 1.999 <br /> ==O=xxc=x==== CCXXXXX=Z= xx= $8.00I S <br /> SURCHARGE -OR 1999 -—OD <br /> 3S.RMANF-qT C'-0:SURE (Removal 3r AuC.Tcrozec: :.asur---;n-Jtaca) TANK I(s) <br /> X 5234.213 <br /> jI ol -LOSURE <br /> 578.30/hour 3 (ours ainim�WTANK) <br /> 7ANK C.3. t(s) <br /> S' <br /> I 721413CRARY CLOSURIE ?tan leview I �.rtsce%:Ttom) <br /> "!SURE S73.,101hour (3 hours minimUp/FAC:L.—, ) 1 S23/-.30 -ainimun S <br /> 7EM <br /> PORARY CL,:, <br /> lHSTALL.A-i!CN ;)'-AN CHEa '?"n Review nscec-. am) *(s) <br /> At <br /> } \p <br /> it PLAN =iEj,'v FEE = SM.30/hour (8 hours vinjoupiFAC <br /> MITY) S6 24.11 33inimum <br /> Al AE?AIR (W0r',0L3n IeTANK I.J. 4(s) <br /> v'ew 1 <br /> E! <br /> ?I TANK ;-.f41MG IF-PAIR SM.M/hOUr (3 tours itinimumlTANKI i TANK(s) 5234.30 S <br /> At S <br /> 7'ANK 2E-RCFIT RVAIRS73.30/hour (3 hours ain.1FACIM-'7M = SO4.-JO Ilinimum <br /> ?'.PINGAEIPAIR 578.30/hour :S hours zinimA/FAC:L�'TY) SZ34.M minimm s <br /> '41RANS F=:t • SZO.00 aAUTHMIZE.3 jEL::AS.- i-jALUAT-,CH S78.30/hrS78.30/hr <br /> S. IEC71CH <br /> ,fG ! m.m/hr <br /> C: =NSUL7.ATlON S73.0131hr I NSP <br /> arAL OM S X\ <br /> FCR OFF"CS USE ONLY <br /> Cr-MIPUTER -CC =E its,- =E AmajHT RE=710 -/C;�Td jEj=-!VS 3Y urc 4EcZT-VeD <br /> S <br /> 4 <br /> 'RE-','Sen 1-4-99) <br />