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SAN J0A0U1WL0CAL HIEALTH DISTRICT <br /> wallmRddStORAGEe tAN9 P964RAN FEE NORKSHEET <br /> IUTyYSITE NAME71, <br /> „.i {".e .+ : FACILIIY CONTACT NAME <br /> R%A(3CP�tlUbflR'CtLyNU��TsmAk'n <br /> I <br /> i <br /> STREET ADDRESS SITE PHONE 1 tc*x etta eott <br /> f CTT) "' S1At 2iP CDOE 101 Tanks <br /> _—•---------- <br /> i APPLICANWILUNd NAME APPLICANT CONTACT <br /> NAME <br /> I M [LINO ADORM APPLICANT PHONE I xrfx alta coot i <br /> = 333 _ — <br /> ( CIT ST I( lIP'COOE TYPE 01 APELICtTION <br /> cLowe r t a L nox+ life. <br /> rACILIty FEE a 1100.00 tach SITE ADDRESS per YEAR TOTAL <br /> ----—=77,17- <br /> -------- <br /> 1906 ' 1981 1188 1989 _ <br /> ►ANG rEE a 00+00 tech tAHK <br /> 1 links j, t ISOM —{986 ` 1981. 1988 Tie) <br /> 1 ItItipT"y 1 by Iter lett <br /> i euh yeti pppll(lblal — <br /> STATE SURCHARGE a 15$.00 etch TANK (see CA HEALTH I SAFETY C80E Sec 15281 for applicability) <br /> _ EFE—I i ttnks s (56.00 198E 1987 1989 1989-I (enter I Nit and yens) — -- <br /> _ � - _ T�- 6 b <br /> PEP. ENT CLOSURE Omni or Closure-in piece) <br /> ttl- - <br /> (—Z�.i,ui ' <br /> 1 u <br /> I ? <br /> LARS <br /> ft t i <br /> NERVIflE$tA41�N @lSUIP.CO INC. <br /> f .1.i lid 6 U1 F.fi ,,'t' �i f irig <br /> y� <br /> ;,,,� ...'i)zl+;�,i�r.!'1 l�il,,e l!� .� ' � w , u•(1#x;1'1 <br /> OffICE ISE ORIy "'f ` `�� `� `"'� / <br /> �9 D ,cam <br /> SNE H s L((C COU OISE CDC A,NOUHI 9UE AHUUhi "CVO, ' CHLC I/CA5li kCV OAIE PTTEIVEI PERMIT 1 <br /> 'alt a� 1 i ' g �1. S —90 N f} <br />