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5.45c • . <br />PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK PROGRAM <br />DATE: 11/26/91 UGST BILLING AUDIT <br />SITE NAME:MADSENS DAIRY <br />ADDRESS: 239 S. STOCKTON SWEEPS #: 1482 <br />COMP #: 14ADSE23 <br />I # TANKS MISC <br />ACTIVE STATE # TANKS # TANKS <br />YEAR TANKS # TANKS # TANKS PENALTY UNAUTOR I2EDADDITIONAL TOTAL <br />SURCHARGE CLOSED INST # TANKS PIPING RELEASE <br />##*+#*##kk#*#rr+#k##r##r#Wr#Wrr#rrWwkwif#Tit#iRWikWifWWfkiifkWffWif##PWWiw►ffREPAIRED WlfREPAIRWiffW INVESTskWWs* PAID AMOUNT APPLIED REPAIRED REPAIR INVESTI PAID PAID <br />1986 ; 3 <br />1987 3 <br />1988 3 $418.00 <br />1989 3 $250.00 <br />1990 3 $250.00 <br />1991 3 3 3 $250.00 <br />1992 $250.00 <br />1993 $678.00 <br />1994 <br />1995 <br />TOTAL 18 6- <br />0 0 0 ; <br />0 0 0 $0.00 $2,096.0o <br />STATE UGT PENALTY CLOSURE INS7 UNAUTORIZEDADDITIONAL TOTAL <br />YEAR SURCHARGE FEES TEMP # TANKS PIPING RELEASE AMOUNT <br />FEES FEES FEES CLOSURE REPAIRED AMOUNT <br />+*#+#+t+**##s#+##i#t#t#tittstt+Wr#tW#+#f WfstsftititiWttttsftfwrfsfslwswrwrtrtstfttfwfttWi REPAIRfWfsr INVESTfststBILLED <br />REPAIR INVESTI BILLED BILLED <br />1986 $168 $250 $0 $0 <br />1987 $0 $250 $0 $0 EO <br />EO EO $p$0 $0.00 $418.00 <br />EO EO <br />1988 EO $250 $p $O $0.00 $250.00 1989 EO $250 $p E0 $0 EO EO $0.00 $250.00 <br />EO EO <br />7990 $0 $250 $250 f0 S0 $0.00 $250.00 <br />199992 $168 $510 $0 so S0 f0 $0 $0.00 $500.00 <br />EO EO EO $p S0 f0 SO $0.00 $678.00 <br />$0 <br />1994 $0 $D $0 $p f0 O $0 $D EO $0.00 $0.00 <br />19951993 S0 E0 so $0 $0 $0 S0 f0 E0 $0.00 $0.00 <br />EO $0 f0 t0 $0 $0.00 $0.00 <br />EO - EO EO <br />50=========E0 <br />=====__ so--------EO-----$0.00- $0.00 <br />TOTAL $336 $1,760 $250-------------- <br />E0 $p <br />EO EO EO EO $0.00 82,346.00 <br />TOTAL AMOUNT DUE = $250.00 <br />N(Y(e OA)71Vr�lcrgiZ`� Pt NALTy /C1IA1� I� 6LjtFD / C}/Z 19rp <br />0 <br />° g U ; l T L^ri S.V T " fi�OC'J9 a r -o I I�`JVc f3l h/ M Ri LC � 771 %rte <br />1 <br />