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BANOOAWUIN LOCAL HEALTH DINTRICT <br /> DERGROUNO STORAGE TANV PROGRAM - FEE NORKSH <br /> f FNCILItT/BITE NAME FACILITY CONTACT NAME <br /> A <br /> California Water Service CompanyMike Fowler <br /> L 9TRETr ADDRESS Wilcox Road SITE PHONE 1 (with Area Code) <br /> r (209) 464-8311 <br /> T CITY Stockton STATE IIP CODE 1 01 TANKS <br /> CA 95205 at Site 1 <br /> AA APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P California Water Service Company Mike Fowler <br /> L <br /> C MAILING ADDRESS 1602 E. La Fayette Street APPLICANT PHONE 1 (with Area Code) <br /> p 209 464-8311 <br /> N City STATE IIP CODE TYPE of APPLICATION <br /> i Stockton CA 95205 (Closure, installation, etc.) Tank Removal <br /> FfACILITY�FEE $9100.00 each SITE ADDRESS per YEAR TOTAL <br /> 1986 1987 1988 1989 <br /> 1 { <br /> V <br /> E TANK FEE = 150.00 each TANK <br /> F 1 Tanks a 150,00 1986 1981 1388 1903 <br /> A (eultiplP-by ret for <br /> I each year applicable) { <br /> L <br /> STATE SURCHARGE _ 156.00 each TANK (see CA HEALTH 1 SAFETY CODE Sec 252BI for applicability) <br /> T 1 Tanks a 156.00 1906 1987 1988 1989 <br /> enTMi roi�wewee.ort wn..ervr - f <br /> wrrva^cmurvra <br /> R OF <br /> JIM THORPE, I) RICH-MART ------- _— <br /> QUALITY PRODUCTS 1 0 8 y 3 - <br /> 368-8175 462-4561 I <br /> 351 NO. BECKMAN ROAD P.O. BOX 957 <br /> LODI, CA 95241-6357 <br /> S ror�� PAY 10.(03/1211 <br /> ( <br /> to THE _ O <br /> oreco... ORDER OF — /J _1J�0 <br /> •+.ourvr of ewece <br /> $ <br /> G'AL—G✓9TEl( K /l <br /> 12D w.w,i°m°,i;d,,u"2p --- DOLLARS <br /> R PIPING REPAIR/CLOSURLixtau.nft --- <br /> UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION Shnrun <br /> (when applicable) INSPECTION INSPECTION 1 <br /> FEE = 130.00/hr FEE = 135.00/hr FEE = 135.00/hr 9 <br /> TOTAL DUE { <br /> OFFICE DSE ONLY <br /> SNEEPS 1 COMP 1 LOC CODE DIST CODE AMOUNT DUE AMOUNT RCVD CHECK 1/CASH RCVD BY DATE RECEIVED PERMIT 1 <br /> • <br />