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SAN JOACUIN CU1NI) PUNIIC HEALTH SERVILE' H , <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UND ANIb 11ORAOe tANk PATORAN - FEE 110RKSNEEY <br /> FACILITY f.'ONtACt NAME 1 <br /> FACItIIY lite NAME <br /> iUon Pelingt CPM <br /> A 1loettcuer Western Properties 1111Ltd. <br /> t — site PHONE N with AREA CODE N/A <br /> I ractlltr ADOREs4III N. Persuing Ave- <br /> L <br /> 1 9tAlE 21P CODE 1 of TANK0 <br /> Ir city Ga 952o7 it Site 3 <br /> r Stockton, <br /> APPLICANT CONTACT NAME <br /> A APILICANVII INO NAVE <br /> r Doettcuer Western Properties 111 , Ltd. Don Piling, CFM <br /> t — APPLICANT PNONIE ��rr Nl IA44g CODE <br /> 1 MARINO ADDRESS 850 W. March Ln. 12091x173—ti�yb <br /> e � <br /> A SME 21P tcbt tYPE of APPLICATION - t. <br /> N CITY Stockton .Ca95207 CIO 9, (NStALLAt1011, lte.petnoVal <br /> ) , I <br /> - totAl <br /> A 1906 1962 1966 logo 1990 - <br /> ci . <br /> 1 ANNUAL 1AClllly Fee (Prior to )111 1, 1991) • 5100.00 5 <br /> I <br /> V 550.00/LANK (prior 1! JeRiary 1,1991) 5120 ANk III January 1, 1991) <br /> E III FPO. <br /> 1 1 tofAq 1906 1987 1986 1969 191991 1992 l99] <br /> 90 1991 1995 1996 1/,l <br /> A I•.Atlply TVlee for <br /> r earh year gippl legibto) <br /> 1 <br /> t sneE 9�C�aeCE - TSS-rM each tAatt tDue every S ylpe) sgie telllornla N / ! Cede, section 23267 '�•, <br /> N twRt�_ N fS6.00 19N6 through 1990 1991 tit. <br /> hrough 1096 <br /> 5 ! <br /> V tenter rnant gird Yeer) I (-,� .1 <br /> PERNAIIENT tt09lRtE (RmeovA or Autherlted ClowIll-In-►heel TANK I.D. ITS) <br /> c --�— TAN t11 159.Ob • A 7.011 <br /> l CLo41AlE fit a W. per f3 hour! min TANK) �—. <br /> D ' <br /> 4 r rlvleu/int I )AHK 1.6. f <br /> U tFMtdlARr Cltl E (A one-time III <br /> R A 1ANkts) _ R S1Sb.gb <br /> F IEMMORA OS1Nle FEE • 51S0.00 lith 1ANk 1 <br /> JA PLAN CHECK (Iml ll. Plan Rev160 l construction Itapletlenel LANK I.D. I(I$ <br /> y a 5121.Otl minharertXN tNEtK•fEE 551.00 per hour t6 hears mining" p!r facility) <br /> R REPAIR FEE (uorlpitn revlov A ecnstruetion InspectlomlTlAik I.b.P YANK REPAIR FEE 15100 per hour (] heat! mlhIffil AHK) TANK(!) _ K 5159.00 • 5 <br /> A <br /> 5 <br /> E PIpIRO REPAIR FEE • 151.00 Per hour (] hart I•inlnarn per feellity • 5159.00) �- <br /> N emsUUAtIONs IIIIAUfNOR12E0 REtEABe EVALUAIfolf IAl(OUNIT I0111PECt10N <br /> t <br /> s ►EE • 55].00/hr FEE • ! S].00/hr <br /> C FEE • 45].00/hr <br /> - --- <br /> TOTAL DINE 5 <br /> �7 •B <br /> nrrlCE USE ONLY <br /> "n`i�ti1RBiI'iKi'diM7gii xiMTliiiIA:'I1 Id•`,Jy/aE:nI(l3'�A i•ixi•wT'1f(xCw"iw"'• W'Vi�►'4af7i"i'LrICfi fwEi",Yiw i"e'•A1iI�1Yw11+f1i"lfwfc+tlU� �CA+�t'wf <br /> 1I% <br /> GViEi{Ui"7"t'M <br /> � <br /> .........�.« ..... . - ' <br /> w' <br /> we•G'i.a max L=W*=Y.::.w.w..r.i+w.,xY%:.•i.x.:a 'v1iT r:ri w"..�.T.w c«.:r.Y c•»�•irssw,t �AS;i��ss� <br /> www.wwM•M/MMM MIMM/MWrrMMrMMMMMAM MYIMMMMeMMMMMMMM MwMM M�MaYSM MMMMMMM MIMMMMMMMr Mei1 <br /> EA 71 032 (REV 1/10/911 It Peae ( 1 <br />