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SAN DAQUIN LOCAL HEALTH D TRICT <br /> DERGROUND STORAGE TANK PROGRAM - FEE WORKS <br /> hIFACILITY/SITE NAME FACILITY CONTACT NAME <br /> C San Joaquin Lumber Co._ Curly Rowley <br /> L STREET ADDRESS SITE PHONE 1 WITH AREA Coo[ <br /> i - ----- 235 Scotts <br /> ._._._—_Ave.=._.Stockton CA 95_302 (209)465-5651 <br /> Y CITY STATE ZIP CODE 1 of Tanks <br /> Stockton CA 95323 at Site two <br /> AA APPLICANT/BILLING NAME APPLICANT CONTACT NAME - <br /> P Weldon Weldon & Cowell Raymond Weldon <br /> L....---- ! -- '- - <br /> I MAILING ADDRESS APPLICANT PHONE 1 <br /> MIT" AREA coos <br /> P.O. Box 69 (209)874-3722 <br /> N CITY STATE IIP'CODE TYPE of APPLICATION <br /> T Hiclanan CA 95323 Cw[u[[, IY[iALLATI M, [TC. CLOSURE <br /> FACILITY FEE _ $100,00 each SITE ADDRESS per YEAR _ TOTAL <br /> A -......__..-_.-.......__.-._-- — __. - - - - - - - - -- <br /> v - ..__._._._....._.........-.-._.__._............_....1986 -1987 J _ _------ <br /> I —jl— <br /> 1988 <br /> E TANK FEE = $50.00 each TANK --- <br /> F 1 Tanks x 150.00 1986 1981 1988 --� 1989 <br /> A (multiply I by fee for ------ <br /> F. each year applicable) - 1 <br /> I --- -- -- --- - _— <br /> STATE SURCHARGE - 156.00 each TANK (see CA HEALTH $ SAFETY CODE Sec 25287 for applicability) <br /> T 1 Tanks x $56.00 19861981 1988 1989 <br /> ---- <br /> Y (enter amount and year) ----.._. __.�- ---- <br /> r PERMANENT CLOSUR wn[oval r Closure-in-place)--- — T <br /> 0 CLOSURE FEE _ $90.00 each TANK 1 Tanks2x (90.00 1 $180.00 <br /> U -- <br /> P. TEMPORARY CLOSURE (Only allowed one time for up to two years) <br /> E - _•-.--.-_-_-_ --- --__ - - -- -- <br /> TEMPORARY CLOSURE FEE _ $80.00 each TANK 1 Tanks x $80.00 S <br /> IP PLAN CHECK (Installation or Repair) RECEIVED <br /> IN PLAN CHECK FEE _ $30.00 each SUBMISSION/RESUDMISSION MAR 2 2 1990 <br /> -_ .. ...... —�_ -----_ -- <br /> REPAIR )NVIRONN/ NrAC HE L <br /> P. TANK, REPAIR FEE _ $110.00 each TANK --- SkRY -- <br /> 1 Tanks x 1110.00 f <br /> - -.............-- <br /> P <br /> A PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum one hour to be paid on plan submittal) <br /> R UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION INSPECTION SAMPLING IIISPECTION <br /> )when applicable) (when applicable) (when applicable) <br /> _ _ — <br /> FEE _ $30.00/hr FEE _ $35.00/hrI FEE _ $35.00/hri - f <br /> TOTAL DUE f 1 ,DC) <br /> OFFICE USE ONLY <br /> hII'�!NUGGI�UV9fiN!IGVV1811111!IV!INiUI!Vl9illal!I!V9'1989GNI111VG9NMI191!VNN°9V9VVN•uiui9�IIIVVVCViIGVVfIVGU119V1NUNnh�IV!61UN�VUV4WII!I�f;VVVI"QUI;VIi!V'�UIiVVGIIViNiAV�11iVIQlilil!GiiiNNINV'J':,ifufliVlll'IIiIV?VIV1112VUVIV4JUVI�IV��IIVNU!�VUCG'�iVUIIVIN��J4�V'd"uVVV! <br /> SWEEPS 1 COMP 1 LOL CODE DIST CODE AMOUNT DUE AMOUNT RCVD CHEC 1/CASH Rr,VD DY DATE RECEIVED PERMIT 1 <br /> - ------ <br /> 'I6iGtllll^Iu;I:rigI,II'IItg'II989IIINPiiNViRVU9U iV <br /> EllUG,N9191PliIIIiIBIIV9NViIii�II�N81!88 NVV9!111I11bVIIG I BVVi!PVIB�BII�VIvuGV BG�BUNVSVi1MliIIBIII�II81VNVI�119p�6VW911iUVVN�GG1UIV8VWVPVdVGaiIG6 <br /> T7 �3� 1tEV�5ED 11� <br />