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TRIOT <br /> SALI <br /> WDERSROUND <br /> O AQUIN LOCAL HEALTH �LI <br /> STORAGE TANK PROGRAK - FEE FACILITY (4IORK5H�HTAGT NAME <br /> F FACILITYISITE NAME William F. Messick <br /> sick <br /> UNION OIL CO. SERVICE STATIONk5421 <br /> C SITE PHONE t (with Area Code) , <br /> I N.A. (see below) <br /> L STREET ADDRES, 703 Pacific Ave. k of TANK' <br /> I STATE IIP CODE 10,000 gallon <br /> T Ca. 95207 at Site <br /> Y CITY Stockton <br /> APPLICANT CONTACT HAKE <br /> AAPPLICANT/BILLING NAME William F. Messick <br /> PWesternMeterService, Inc. <br /> P APPLICANT PHONE M (with Area +:orie) <br /> L (209) 948-6124 <br /> 1 MAILING ADDRESS <br /> ee Drive Suite E STATE IIP CODE TYPE of APPLICATION <br /> C air <br /> A Ca. 95205 (Closure, Installation, etc.) Re-pair <br /> N CITY <br /> I Stockton, TOTAL <br /> A <br /> FACILITY FEE = 5100.00 each SITE ADDRESS per YEAR <br /> 1587 19G9 1y99 <br /> 1496 � <br /> C <br /> T <br /> 1 <br /> h TANK <br /> 450.00 each E TANK FEE = 1980 1'33`3 <br /> x $50.00 1986 1987 <br /> F y Tanks __ _ � <br /> A (aultipIy by fee for <br /> C each year applicable) <br /> I 5297 for applicability) <br /> L STATE SURCHARGE = #56.00 each TANK (See CA HEALTH 1. SAFETY CODE Sec 1909 <br /> 00I 19GG 1991 1'i9G <br /> T 1 Tanks_--__ x $56. <br /> y (enter aaouat and year) <br /> C PERMANENT CLOSURE (Removal or Closure-in-place) <br /> L Y Tanks z ('30.00 � <br /> 0 CLOSURE FEE = $90.00 each TANK ----- <br /> S <br /> U <br /> h TEMPORARY CLOSURE (Only allowed one tioe for up to two years) I <br /> E # Tanks----- x 594.00 t � <br /> TEKPORARY CLOSURE FEE = 590.00 each TANK <br /> EPPLAN CHECK (Installation or Repair)N CHECK FE£ $30.00 each SUBM[SSIONIRESU'BMISSION <br /> REPAIR <br /> R 5 Tanks-__-_ x $110.00 5 <br /> E TANK REPAIR F400eachANK <br /> P <br /> A <br /> I PIPING REPAIRFees are per hour, ainiAua one hour two be paid on plan iubaittal)R UNAUTHORIZED CONSTRUCTION SAMPLING <br /> (when applicaINSPECTION INSPECTION <br /> FEE = 130.001FEE = 535.001hr FEE = $35.001Itir t <br /> TOTAL DUE S I <br /> OFFICE VSF ONLY <br /> won= mom= <br /> SWEEPS 1 COMP Y LDC CODE DIST CODE AMOUNT DUE AMOUNT RCVD CHECK 11CASH RCYD BY DATE RECEIVED PERMIT t <br />