Laserfiche WebLink
( Iia STORAGE TAW PWM - FEE iNIRK�T <br />y <br />F FACILITY/SITE )MME <br />r <br />' . <br />A FACILITY CONT NAME <br />Associated A JUStment Service <br />E. R. Engdahl <br />L STREET ADDRESS <br />i 303 N. Pilgrim SITE PHONE I (with Area,Code) s' <br />' Y CITY <br />209 466 <br />Stockton STATE IIP COOL:I <br />of TAM (tS <br />CA <br />AA APPLICANT/BILLING MANE <br />at Site <br />, <br />APPLICANT CONTACT NAK, <br />P Associated Adjustment Service`: E `Engdahl <br />R. <br />N°`a <br />. ,. <br />"AILING ADDRESS P. 0. Box 489 <br />G <br />APPL C PHONE 1 (with Area <br />A2 ) <br />466-2821 City <br />Stockton, STATE t1P CODE TYPE of APPLICATION Re-exc .Vatlan/resam <br />' <br />CA 95201 ' (Closure,' installation, <br />etc.D `tan <br />WO <br />FACILITY FEE _ $!40.00 each SITE ADDRESS per YEAR <br />A J <br />TOTAL r , <br />1986 1987 1988 1989 ,, <br />I - <br />E TANK FEE = % ' <br />50.00 each TANK. <br />F i Tanks_ x $50.04 1986 <br />A (oultipiy" 1'by fee for 1387 <br />C eachear applicable) <br />Y <br />} <br />STATE SURCHARGE _ $56.00 each TANK (see CA HEALTH i SAFETY CODE <br />Set 2528$ for applfcab(lity) <br />T 1 Tanks x $56.00 <br />' (986 4987 1981! <br />Y ("ter and Year) <br />}' <br /># S, <br />PERMANENT CLOSURE (Removal or Cl osure•in-placeD <br />S CLOSURE FEE = $90.00 each TANK <br />1 Tanks x $90.00 ` <br />..__. <br />$ <br />ER TEMPORARY CLOSURE (Only allowed one tine for up to two years) <br />TEMPORARY CLOSURE FEE = $50.00 each TANK <br />` <br />1 Tanks.,.... r $80.00 <br />�. <br />P PLAN CHECK (Installation or Repair) <br />N PLAN CHECK FEE $30.00 each SUIMISSIIN(/RESUBMISSION <br /><< <br />REPAIR <br />`. E TAW REPAIR FEE = $110.04 each TANK <br />P <br />A <br />A <br />/Tanks z t~8I0.00 <br />- t <br />RI PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, sinieue one hour to be paid on plan submittal) <br />UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION Re—excavation SAMPLING <br />When applicable) <br />INSPECTION & resa 1 INSPECTION <br />: <br />FEE : (30.00/hr FEE <br />U 635.40/hr <br />1 <br />�5. Ot./ k <br />w/� <br />$. f e�..l '.dr. i} <br />b ,' 'TOTAL.00 <br />_OFFICE O$E ONLY <br />