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CRISP CONSTRUCTION Cb. IN�
<br /> JOHNNY J6 ENOS, JR. 2340
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<br /> ��.. FIELD ACCT.
<br /> P.O.BOX ION 734-0361 o/
<br /> VISALIA.CA 93278 �Q ]91L ttb7n270
<br /> PAY TO E
<br /> ORDER OF /�.N--SE.f/I� I $ /S c� ME
<br /> O.c/7C Nse.�O.fE,p fi FiFl"fes .c�i F fir ���LLARS • 11
<br /> r .. First Interstate Bank '
<br /> t'HE of California$704
<br /> F� 419 MainStreet
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<br /> P.O. Bosox
<br /> Q3BarkVlealla, CAA 9 93279-1231
<br /> FOR T/u�f' .l�fisv.fveG �/�/09 C� 'FJ /� �.VO
<br /> ' I: 1i21,0005781: 70496031,61I6 0236 Yl AREA &M .4
<br /> N CITYR 001 !IP two tYPE of APOLICAf1GN
<br /> T PG CA uYa ✓ CA CLOSURE, INPALLAWN, 08, e--tAMAL
<br /> itltAl , • ,
<br /> A
<br /> SRF
<br /> 1986 19Ei 19AA 1984 1490
<br /> t ANNUAL FACILITY EEE (,WISP to J+IH1+Py 1, 1991) + MOM
<br /> E TANK FEE • 950.00/LANK (01"10t! JeA
<br /> Ft+ry 1,19011 !110/LANK t+fter JAMAry 1, 19911 a 3
<br /> F + Tsnka • 198d 1981 1988 1489 1940 149) 1992 1993 199b 1995 1996
<br /> A (MMItty �-�'f!+ far
<br /> c each year epp[1lebllf ! "R
<br /> L STATE St PAROE a !16.00 ueh TANK t6U1 lo+Py 5 ye111`0 !!+ t►llfetht+ R ! ! Cedl, !letlen lS26i 't. I
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<br /> T M tank!` R 156.00 1986 thmmh 1990 1491 thteu9h 1996
<br /> r tenter slluxatt RedyeaH
<br /> PEANANENT CLOSURE tk@w,'I �• �'•'-.•� " ltal
<br /> c1. 1 MOM a !
<br /> 9 CLOSURE FEE a 951k06 pal �� %
<br /> 2 ,
<br /> u TEMPORARY CLOSURE to NNS / It1)
<br /> E TEMPORARY CLOSURE EEE
<br /> P PLAN CHECK 0(Mtall. PIIM
<br /> P
<br /> kh
<br /> N PLAN CHECK FEE !11.00 Pt lIINIMIA !
<br /> R REPAIR FEE (06Pkplah PRO* !1
<br /> P TANK REPAIR EEE + 1151,00 01 _, % !159,00
<br /> A r
<br /> A PIPING REPAIR EEE a 01.66 s
<br /> as
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<br /> N CONS11LtAtIO11111 n.nummileO RELEASE EYALU01611 IA40LINO 141OEOtio"
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<br /> r. FEE • MAN,, IEE + W�00/hr IEE ! : 11,66ihr
<br /> MIAL DUE ! rJ !b t) .
<br /> OFFICE USE ONLY
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<br /> EN 23 032 (REV 1/10/01) It bide 11
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