Laserfiche WebLink
SAA JOAaUFN CULL 'V9t.IC HEALTH S;5RYICCS - ENVIRONMEWTAL HEAL' IVSICK <br />UNDE :!o-tC0AGE TANK PR=AM - Ftp LORKadEET <br />S <br />I <br />FACILITY SITE NAME <br />A] 'O <br />,Utarke <br />1989 + 1940 <br />FACILITY COATAGT NAME <br />514T/JANf <br />T <br />-E <br />FACILITY ADDRESS <br />, <br />Of <br />CLOSUR8 F'es = 57S.00/hour (3 hours minimsu/TANK) } <br />A <br />' S' <br />SITE PHONE : withAREA aME <br />xxxx i <br />r%`t <br />l3 c?l1T\YAP✓ <br />X.LY <br />! <br />XXXX I xXxX <br />I <br />f cx%x , <br />xxxX x)cQc 3 xxxxXxxX <br />t <br />V <br />i <br />y 1,11) ! <br />TANK =�- 550.00/TANK (Prior ca Januar99 <br />SiTO/TANK (ArCer danuarY <br />j <br />1, 1941) 1 <br />STATE <br />ZtPy�-CGDE <br />� of TANKS <br />at SITE <br />1. <br />A <br />1997 11998 <br />FI <br />(mut Cioty $ 'aY res for <br />1XXXX <br />I c�9 <br />931710 <br />�Lt <br />P <br />L <br />APPL!CANT/81L LNG NAME <br />– 6b <br />M <br />TOTAL DUE � <br />9 <br />APPLICANT INTACT NAME i <br />SA-T-pjF-o \ S -i f) <br />I <br />C <br />MAILING AOORESS <br />LI <br />11 <br />STATc SURCHARGE FOR NEW FAC:LITIE3 ONLY -518.50 <br />APPLiGWT ?kONE WITH AREA =Ev <br />'% <br />Y <br />t h 1993 (556) j <br />T 'finks x53.00 I 1988 thrCug <br />1� <br />w <br />5443 chrgit <br />1447 (556) 1998 <br />I ;JRCHARGe FOR 1998 I :O(XZxxxxxxxxyj. xxxxxxxxxxxx <br />rJC x=Q=xxxXxi(Xnx)= <br />T <br />CITY <br />STAT'c <br />ZIP CODE <br />I <br />TYPE at APPLICATION <br />CA <br />95 3 71,el <br />(Ctosure, irtstallarion, <br />TOTAL <br />C'l <br />PERMANE14T <br />1986 1987 <br />I i988 <br />1989 + 1940 <br />RE?AIR F°E (Uvricutan Zevteu 3 Cam v ucsion trispecrions) <br />ANNUAL FACILITY FEZ (Prior to January 1, 1991) = SIOO-00 <br />, <br />Of <br />CLOSUR8 F'es = 57S.00/hour (3 hours minimsu/TANK) } <br />A <br />' S' <br />:cax I xxxx <br />xxxx i <br />xxxx xxn S x=Ixxxx <br />T <br />=AGILITY PENALTY FccS ASSESSZ (If Appticabtr) <br />! <br />XXXX I xXxX <br />I <br />f cx%x , <br />xxxX x)cQc 3 xxxxXxxX <br />t <br />V <br />i <br />y 1,11) ! <br />TANK =�- 550.00/TANK (Prior ca Januar99 <br />SiTO/TANK (ArCer danuarY <br />j <br />1, 1941) 1 <br />e} <br />tanks 1988 11984 1490 11991 1492 <br />1993 1944 11995 <br />f 1996E <br />1997 11998 <br />FI <br />(mut Cioty $ 'aY res for <br />1XXXX <br />i <br />, <br />` 5 <br />AI <br />each Year appticdbte) XXXX :OQIX I xxxx ! xxxx <br />I <br />TOTAL DUE � <br />9 <br />1+ <br />TANK 7GVALTY Faa� AS cSSE) uxx , XXXX ' xX%X <br />LI <br />11 <br />STATc SURCHARGE FOR NEW FAC:LITIE3 ONLY -518.50 <br />; <br />Y <br />t h 1993 (556) j <br />T 'finks x53.00 I 1988 thrCug <br />1� <br />w <br />5443 chrgit <br />1447 (556) 1998 <br />I ;JRCHARGe FOR 1998 I :O(XZxxxxxxxxyj. xxxxxxxxxxxx <br />rJC x=Q=xxxXxi(Xnx)= <br />C'l <br />PERMANE14T <br />LDSURE .Removal ar Authorized Ctosurst-fn-Placa) I <br />TANK I.J. e(S) <br />t. <br />RE?AIR F°E (Uvricutan Zevteu 3 Cam v ucsion trispecrions) <br />TANK I.O. S(s) <br />, <br />Of <br />CLOSUR8 F'es = 57S.00/hour (3 hours minimsu/TANK) } <br />_ <br />TANK(s) X S234.00 - <br />' S' <br />Al <br />[I <br />- <br />TANK REiROfIT RE?ATR FEE = S:8.00/hour (3 hourS ain./FACILITY) <br />= S�34_t)0 minimum <br />(JI'R.MP7RARY <br />RI <br />CLOSURE (Plan 2eview & (nsceC:ian9) , <br />TAHK I.D. $(s) <br />RI <br />i-iMPORARY <br />CLOSURE FFE = ST8.00/hour (3 pours minimL/FACILITY) I { <br />5234.00 minimus <br />S <br />PI !NSTAL!.ATION PL,.N CHECK (Plan Revi— I (-.artstruCZion InSpe-'ion5)' TANK 1,1- *(3) <br />L <br />AI <br />NI ?!AN CHECK Fe -a = 573.G0/hour <8 hour girl imum/FACILIT'T) 5624.00 minimcnt 5 <br />F05t OFFICE !LV- ONLY <br />a1+'ccPS T I Ct:lIPUTTR * LOC GrDE ` OtST OWE •AMMNT jEC-IVED CHECX S/USH I REG IVm 3Y ) GATE aECZIV�j . <br />::i Ln 13Z (REVISED 1-12-48) <br />R <br />RE?AIR F°E (Uvricutan Zevteu 3 Cam v ucsion trispecrions) <br />TANK I.O. S(s) <br />c, <br />PI <br />TANK :INING REPAIR FE= a 'S78.J0/hour C3 hours minimum/TANK) <br />4 TANK(s) x 5234.30 <br />Al <br />[I <br />- <br />TANK REiROfIT RE?ATR FEE = S:8.00/hour (3 hourS ain./FACILITY) <br />= S�34_t)0 minimum <br />S <br />RI <br />PiPtNG REPAIR -rEEF - 378.00/hour <3 hour: miniraum/FACILITY) <br />= 5234.00 minimus <br />S <br />Mj <br />TRANSFER F'e- !2 329.00 UNAUTHORIZED RELEASE EVALUATION - S78.00/hr f � <br />3 <br />S <br />ci <br />CONSUI,TATION FEE - $73.00/hr I ' SAMPLING INSPECTION Fe''e <br />f <br />' 578.00/hr I f <br />s <br />TOTAL DUE � <br />9 <br />F05t OFFICE !LV- ONLY <br />a1+'ccPS T I Ct:lIPUTTR * LOC GrDE ` OtST OWE •AMMNT jEC-IVED CHECX S/USH I REG IVm 3Y ) GATE aECZIV�j . <br />::i Ln 13Z (REVISED 1-12-48) <br />