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/ SAN JOAUJIN COINTY PUM IC NEALIN SERVICES <br /> • ENV IROIMENtAL HEALTH DIVISION <br /> IWFRGR• STORAGE TANK PROGRAM - FEE W(KSNEET <br /> FACILITY SITE NNE FACILITY CONTACT NAME <br /> r <br /> A Parle.Lla *rruck.ing Inc. Roger Scriven <br /> I IACIl1Iy ADDRESS SITE PRONE R Mlth AREA CODE <br /> I 7. 150 E. Fremont ;;t N/A <br /> I rill STATE IIP CODE I of TANKS <br /> I Str)ckton, Ca. 95215 at slit 2 <br /> A APPt ICANI/11LLSND MANE APPLICANT CONTACT RARE <br /> r <br /> r Panella Trucking, Inc. Ro er Scriven <br /> ( --- <br /> I NAIl IMO AIRINESS APPLICANT PNM I WIN AREA COD! <br /> r 5000 E. Frenlonl. St. (209)943-5000 <br /> A _ - <br /> p CITYSATE JIT <br /> E TYPE of APPLICATION <br /> V <br /> Stockton, JI217 CLOSME, INSTALLATION, rte. Removal <br /> -- '"---- EFAI <br /> A <br /> r 1986 1987 1968 1909 1990 <br /> I ANNUAL FACILITY IEE (Prior to January 1, 1991) 1100.00 —L-- —' — <br /> 1 <br /> v <br /> F TANK FFE - 150.00/TANK (prior to January 1,1990 1170/LANK (After Jeruery 1, 1991) <br /> r IIAr.k+ 1066 1987 1008 1989 1900 1991 1992 1995 1991 1995 1996 <br /> 1 (nrdtipl , I F,y lee for <br /> r rach year appllcobi <br /> I STATE SIA1rIURf.E 156.00 each TANK (flue every S years) Sao California N L f Code, Section 25207 <br /> I __— <br /> I K Tank+ N 156.00 1006 through 1090 1991 through 1996 <br /> I (anter 1rl•nnt And year) 1 <br /> -- rFPITA RE9 t CLOSURE (ReAArvAI or Authorited Cloture-In-PI Net) TANK I.D. I(s) ll' O <br /> I I CIOSUNE FEE 155.00 Mr haw• (5 hours elnla8.00rs per TANK) S TANK(s)? N S►S9.00 <br /> n — <br /> ..•C.V.C•.•MI.WMO•e•M.YIM. - <br /> a•.._M.M1•OwM.GCPM.1 <br /> ---- --- -- JIM THORPE OIL, INC. 3332 <br /> bISTRIBUTOR OP 6UALI" Pg000CT5 <br /> 351 NO. BECKMAN BM 308-0175 482.4581 <br /> P.O. BOK 357 <br /> - _ --_ — - LODI, CA 95241 <br /> � - -- - — r <br /> toTHt �.J <br /> •I •.•�• __....�M- __—._ — O.)"ClitR77OE <br /> a e .�• / OLLAR3 <br /> MERCHANTS <br /> BANK WINAI _ <br /> I I <br /> I <br /> -- _ -- TOTAL DUE 1 <br /> 318.00 <br /> otrlrF. USE OIILY _�Jr/,�f•�f� -- <br /> :: �i��i�_..«. .._......_........_-_......__-.•-YrFnr W.nYrnw��niwni.�riMMw.Null Y[V AT •r• .. 0111E RCIF IYIV :r'-• <br /> w MYA••Mw M�er•••�wM M•A <br /> �1"rtl7w' (#IQf(41f7 `P" "Vrir'L'ZIIE"A 'AQ?61i'R1L7ftlh'L1C'f/6tS11 A <br /> -- T <br /> c � <br /> -LLO 0! <br /> `� .1.. ..I ire-ir,- 9lr <br /> ...��.r wAA===" -Mwrw -i ia..r.tiw Mr:7w w.... .i.:::r- .w•iM�iw Tr w'••••ww....��,,,, .+ <br /> w-• •+•r,rAA•AMMAr.•MA.•IMAMMaMMM•w MAM•Y M•MMIIMMrrYA1MwMMMr1MM M+M wa Mar A1NMM+MY�lIl11r11NMa}r.wrM/ <br /> Fp 71 1137 fPEV 1710/011 It plat 1 <br />