Laserfiche WebLink
aavr dvAWUlR VWPIlf PUtILIC HtALIH SERVILt7 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> GROJNO STORAGE TANK PROGRAM, FEE W <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> 7�GL c E� (1euc-r u� rc' ��ecc-c- <br /> ! FACILITY ADDRESS SITE PHONE P with AREA CODE <br /> 7eLq�" R Zo123a3 <br /> T CITY STAT! IIP CODE / of TANK! <br /> TC (C IOIU �' at SITE <br /> A APPLICANT/QILLINti NAME <br /> p APPLICANT CONTACT NAME <br /> L <br /> 1 MAILING ADDRESS APPLICANT PHONE 8M TH AREA CODE <br /> A <br /> N CITY /1701 , 5T" IT TE IMP CODE TYPE o{ APPLICATION <br /> -t� CLOSURE, INSTALLATION, ate. fE/f7 41'?L <br /> A TOTAL <br /> c <br /> T AiNNUAL FACILITY FEE (Prlor to Jernury 1, 1991) ■ !100.00 19N16 1987 i%S 1999 1440 <br /> V ! <br /> F FEE ■ 950.00/TAMC (prior to January 1,1991) 11M/TANK (after Jwvjery 1, 1991) <br /> F a Ter m ' 19" 19b1 1995 1959 1994 1991 1992 1943 1994 1495 1996 _ <br /> A (multipty -Ti fea far <br /> Ieach year oppllcebte) 5 <br /> L STATE "CHARGE + S56.00 each TANK (Due every S years) See C*Ilfarnia H A ! Code, Section 25251 <br /> T IN Terrka x S56.DO 1906 thm-0 1990 1991 throt* 1996 <br /> T {anter mount and year) <br /> ECLOS:tME <br /> CLOSURE (Remove( or Authorlud Ctosura-In-Place) TANK I.D. I(a) <br /> c <br /> L E ■ $53-00 per hour (3 hours mintmA W TANK) 0 TANK(a) j !< !139.00 ■ <br /> MODESTO BANKING COMPANY 90-3732/1211 <br /> tQO . MC...— AV..U. <br /> MOO P{T❑, CI?Lff OR NIA @`J S50 y <br /> EMCO 5469 <br /> .FfIF.AAL E;NG7NCERlNG 8, ENVIRONMENTA4 CONTRACTOR - -- <br /> 431 W "ATCH RD 12091 524.9653 <br /> MODESTO, CALIFORNIA 95351 <br /> Y ` kY�ir{� :J�.. C ,.FILA a �' np CTS 13C7LLARS <br /> TO THE ORDER OF DATE CHECK NO. AMOUNT <br /> Ci sn s a� � ,+ *e';. � ;• •�?fir a `r "y^ ,>' &,� I v � --•� <br /> —� SEMCO ! <br /> 5 1517, c)C <br /> w <br /> MIN +.iyfiiQ-a>tw�rw��u►ax"o.�i1��ll�il�li„arwil.w w"i wv:..+.►I:.:�+:::>�� <br /> >f <br /> z.a x•.».,.,M mm M.. w"■.. rww.rM mw I.1.Iiw'w'Iii .._ -- - ••--•_"— <br /> ■.rrwn w..I.watw lir.eo,w wnr>�pw lrl,�in�uwii ijy l.ww i■?■.�ww iii iris y.'s � yw 11i�w..M rw qqww►►IM�j�j�y�,,ir Mrrm».. <br /> �e■n.aa A►P MNAw AWAi 001"mAMM A+l�IYgIM AM AllglJ#AMM ii�A1rN AAAMMltli�laal ANE a*ANe all A�llR arAM�AMIr/M amlaN A�l�AIMAM waM�i1M�111MiA1f <br /> Fm z3 a�2 [Rev �,/erotl ft Paw 11 <br />