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l0ADU1H Willtl PURLit NEALtH SERVICES Ah <br /> w10HAMAL HEALTH DIVISION <br /> UME <br /> GRcu"o STORAGE LANK PROGRAM " FEE NORKSHEEt <br /> FACILITY SITE NAME EPACILM NAME <br /> , rju Ac h AREA ccOE <br /> I PACILItY ADORES! ^fL Q /V.t CITYSIAtE cNk5 / <br /> Y J G <br /> A APPLICANt/9ILLING NAME APPLICANt coNlAct NAME <br /> o S [ CO fZiL� I fC�ui � � <br /> RAILING ADDRESS I] �IIN] APPLIcANt PHONE A WIN AREA CObE <br /> c <br /> A StptE NP l tYPE df APPLICAtION <br /> R CItT CLOSURE, INStALLAtIcN, ate. <br /> 1 <br /> TOTAL <br /> A Er l0 1 �� <br /> �,.(�[r.1 qy 1986 1987 1988 1984 1990 <br /> c - <br /> T ANNUAL FACILITY FEE (Prlar <br /> I �7�GT Cts <br /> v It o/tA 1 <br /> E LANK fEE 150.00/LANK _ 16C <br /> F R tanks <br /> ' <br /> �lrrfi�$ � 1 1991 1 <br /> • Ud <br /> A (MMPty T-6�y fee far _ <br /> c each year app leablat <br /> t % <br /> L SLATE StRlcNAAGE • <br /> 1156.00 earn TAMC (owe every i years, .•e Chi lfernll <br /> 1 <br /> 1 / tankA R 156.00 1986 through 1090 <br /> Y (enter t And yeart - <br /> PERMANENT CLOSURE Ofmovat or Autherlied d6sura-In"Ptaee) 1ANK 1 <br /> rinsuko FEE a_ 153.00_peth_o_ur_S3 heut! MInVftA P!r TANK] , 1 LANK f p <br /> SIFMCO WORIaNG ACCOUNT It �� 7' ` J� <br /> RIrIIARb C. HAMILTON �7 <br /> 431 W. HATCH RD. pH. 209-524-9653 ��"pc y 19_ _. <br /> MODESTO, CA 95351 <br /> Pay lb <br /> —[ bouars ! <br /> --_ <br /> UNION SAFE DEPOSIT BANK <br /> li 48W BROADWAY,SAUDA,'CA 95368 <br /> pa <br /> lel s <br /> I <br /> s <br /> c I In.a S53.tle/hr FEE a 3 S 000/hr <br /> toUL WE ! � <br /> _OrflcE USE ONLY_ w,. <br /> M•-,C�iiw,M■=q 9 i` A�w wrrx.Ywy:,arw,px�3rm�YeYiuY.ia1&Y.v'e'i»iw'lxe".'Cz's':w'wie'ee»'e'w'ee's'i&v".w"Ciee'e'e'sfiz�'e�wxk"fi'Fii»wiv'iA",..T' riiiiw"iw«ir"Sn'wwwi�Yiwi•ww`i�i�ir'�iw <br /> a ■ � iT" �l Cwt UII CL7 ��f`��C , �f C.--- �EC% 11 <br /> ■ <br /> 1107. — <br /> ...•57.: L7F•. AYf�owawanvwnwwaiw:«s:wwsawwroa,aro»n�ewazroso'avm�m«�aex»�aom�in <br /> ,rw4wwaalY aMMaat abD/M.iaC9XAXAYAY CY O.Q7A.`l.<D fRDGS:SY'F,Y ObY:s:L:IICsxS:.YS`.II..ILII?9#fRE'#a.YfR`df:f:f29.T9.b"tfA`S'.F�t�f[�C4 iwY lmwT SM tm+rt RS MtM•M Mwweesaw�lwf <br /> ru of oil reev IfrlAlwi if pnOq 11 <br />