Laserfiche WebLink
S JOAQUIN LOCAL H2ALTH STRICT <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE NO MiNEET <br /> Ih FACILITY/SITE NAME FACILITY CONTACT NAME <br /> SOLA <br /> t- _-- Cdi �✓ lc. A l4I'h S�hgr c-.v <br /> L STREET ADDRESS <br /> I 7^ �G SITE PHONE I WITH AREA OmmE <br /> Y CITY <br /> r ` TAI <br /> A IIP CODE I of Tanks <br /> _.__,2df1�` !J CODE <br /> Site <br /> A APPLICANT/BILLING NAME ------ <br /> P APPLICANT CONTACT NAME <br /> F [',� <br /> L ...--.F__7 _..__. iyrttcDr� c �. W� lgfr �tN ro�S <br /> I MAILING ADDRESS — — — <br /> 7(� APPL(CAN PHONE f WITH AREA coot <br /> A 9l6 =9 2—�A cs- <br /> N I,ITY STATE ZIP'r,ODE <br /> 1 �Ir�r(l� �I�LPL)CATION <br /> .. ....'-.—•_•.."._`•'.._•..._—'------ -.._..__._—__— CLme UR! Ne TAILATIJ Ere. <br /> --— _ <br /> A C LI1Y FEF = $100.00 each SITE ADDRESS per YEAR T <br /> --- --- <br /> T _-- ...._.....-._-.ecce-._-_. _ -------_---- — TOTAL <br /> 1986 1987 1988 1983 -- - -- — <br /> I — _ <br /> FTANK FEE = 350.00 each TANK — <br /> .._..--_--.................caeca-_..... ..... - <br /> F f Tanks r $50,00 <br /> A (RultipTy-I-by fee for 1986 1387 1988 1989 <br /> E each year applicable) -R.-- - <br /> L STATE SURCHARGE = $56.00 each TANK (see CA HEALTH 6 SAFETY CODE Sec 25281 for applicability) <br /> T I Tanks r 356.00 1386 1387 198A 1383 <br /> Y (enter iiouit and year) _ _ <br /> C FEP•MANENT CLOSURE (Re+oval or Closure in-place) <br /> 0CLOSURE FEE _ $90.00 each TANK —_ <br /> 5_�—_-----------------.......—__-___.- $ Tanksx $30.00 f CrZ7 <br /> U <br /> IR TEMPOP.AP,Y CLOSURE (Only allowed one time for up to two years) —' <br /> WILLIAM G. CASTLE <br /> ELIZABETH CASTLE f <br /> 105 OXBOW MARINA DRIVE 925 <br /> —'— <br /> ISLETON, CA 95641' y/ <br /> ' 19 9 1 I6-700013220 - <br /> PAY TO THE <br /> E THE <br /> ORDER OF <br /> MQO <br /> $ <br /> HAGS DOLLARS <br /> OF -- <br /> $ <br /> - <br /> f <br /> WESTLAKE <br /> WIRE ILLATHOUDSANDOAKS.CA919 �1 <br /> I /I1/ mi ttdl) <br /> MfMO iN/67 (/�/�'�, —_JJ/ fy✓f(J—���/ .1 <br /> R <br /> $ <br /> s <br /> OFFICE USE ONLY —YOTAt DUE <br /> I�'!�'@@@�:"��@@@ill)@II���!I!�1!!1pn4.'I!III@;@IIP.'IDa9!@I�?�@�P.I@! IN@I8i@,1@1Npfll!r�llll@"IIRRa:"�@198@@�1�i1@9!1@@@II9�IiB@!�91!!I!n�@IfllVif'"��161�I;'@�pl�i@@�"�lf@�I1��Ilif91@4�dC�'ufli I .@JAI@�@:9�V!�Ti1@li@il@J@@II@ 91V°II@l6i!�181�16�11'r'I@@a�@!j <br /> III ,DEEPS A COMP t LOC CODE GIST CODE AMOUNT DUE AMOUNT RCVO CASH RCVO BY DATE RECEIVED PERMIT t h <br /> 3zz ... p -.... - <br /> � ���(�I�@�rl�l1���I!!iiiiPIItiVIl41N�@ 111��1911@�1P�@B�Iflii!:il!II@nl�@IP�09PJ�@l9Pl��"'�@@II@@I@I!i; n9l%@f@I6@�1@I@Iq�ll@I@I @1fA6J 9�IVAL��IJia 11@II@@ioi191 <br /> @AIIV@, <br />