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e a IFIFgCIU(Y/SITE NAME • - ---- —._—_.-- <br /> i FACILITY CONTACT NAME <br /> ( <br /> Rainbo Baking Company Fred McPherson <br /> L STREET ADDRESS <br /> I SITE PHONE t wITH AREA CODE <br /> T _ 508 Walnut_ Street <br /> Y CITY — (209) 368-0345 <br /> Lodi STATE ZIP CODE 1 of Tanks <br /> .._..-- CA 95240 at Site One <br /> A APPLICANT/BILLING NAME <br /> P APPLICANT CONTACT NAME <br /> P John Mathes & Associates, Inc. <br /> L -- Hank Bellina <br /> I MAILING ADDRESS -- — <br /> APPLICANT PHONE 1 wit" AREA coot <br /> A- 210 West Sand Bank Road, P.O. Box 330 (618) 281-7173 <br /> N CITY <br /> J_ Columbia STAT ZIP (,ODE TYPE of APPLICATION <br /> --_— IL 62236 C�oeuRE. IHtT�ILAT[OR. ETC. Closure <br /> FACILITY IFEE = 1100.00 each SITE ADDRESS per YEAR A TOTAL <br /> T <br /> 1986 1987 1988 1389 <br /> 1 <br /> IE�TANK FEE S50.00 each TANK -- <br /> FIL Tanks s 550.00 —1986 1987 1988 1989 <br /> A 4ultipfy-i-by fee for <br /> each year applicable) <br /> 1 t <br /> L STATE SURCHARGE _ <br /> ( $56.00 each TANK (see CA HEALTH 6 SAFETY CODE Sec 25287 for applicability) <br /> -- <br /> I 1 Tanks ' <br /> 556.00 -- 1386 1981 1988 1989 <br /> Y (enter aeount and yeari <br /> f <br /> isFPERMANENT CLOSURE (Removal or Closure-in-place) <br /> OE FEE = 590.00 each TANK t Tanks 1 x t30.00 $90.00 <br /> 5 <br /> U --- -_ <br /> E - <br /> R TEMPOP,ARY CLOSURE (Only allowed one time for up to two years) <br /> TEMPORARY CLOSURE FEE = 580,00 each TANK 1 Tankss $80.00 f <br /> —.._ <br /> r - <br /> IP PLAN CHECK (Installation or Repair)IN PLAN (,HECK FEE _ $30,00 each SUBMISSION/RESUBMISSION $ <br /> �-IP —_ <br /> F, TANK REPAIR FEE _ $110.00 each TANK 1 Tanks x $110.00 $ <br /> E- --- -- --- ------ <br /> A PIPING REPAIR./f.LOSUF,E/REMOVAL (Fees are per hour, minimum one hour to be paid on plan submittal) <br /> ( — -- <br /> R UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION INSPECTION SAMPLING INSPECTION <br /> (when applicable) (when applicable) (when applicable) <br /> FEE = 530.00/hr _ FEE _ (35.00/hr FEE = $35.00/hr $ — <br /> TOTAL DUE $ 90.00 <br /> OFFICE USE ONLY <br /> SHEERS t COMP 1 LOC CODE 01ST CODE AMOUNT OUE AMOUNT RCVDCHECK 1/CASH RCVD BY DATE RECEIVED PEP,MIT t <br /> t t <br />