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07/13/2001 07;58 91c-F^5-9209 RIO 13RAVO RUCK -IN <br /> IC HMTH SEMACES-EN IRCH PAIS 02 <br /> UNDERGKOU D STLORAGE TANK PROGI�AN�EE WORKSHEET� <br /> AME <br /> FAC��N E FACIUYY C AC <br /> � L <br /> w 3 HO MBAR HAR AC <br /> � ACI TY AD j �{ <br /> stE <br /> "[ L^ 23 0 OFT KS A ITE <br /> rr a <br /> CA <br /> APPLICANT BILLI G E � AlANT CONTAC AME <br /> ANT ING R 6 APPLICAN PHONE#W AR A <br /> TATE E Cf LE K 10 BR GONE; <br /> Ir Closure Ins1011Stion ePal e'.rofl1 <br /> E <br /> 1996 11996 1997 199H 1999 I 2000 <br /> ANNUAL TANK FEE IS 6170 PER TANK $ <br /> TOTAL TANK FEE <br /> 3tt0 X #of T S Y.(#or YEARS APPLICABLE $ <br /> TANK PENALTY AS5E55E0 -�-- $ <br /> TANK SURCHARI3 -$8_ TANK _ $ <br /> ESTATE URC:-WRGE FOR Fr.Ci_1'VES NC ALR"Y ON INVENTORY INA CUFA PROGR*A=1101 FAGIJTY <br /> NRWGM4IW <br /> URE ~_^ <br /> l*nittild Gl sum 1n Placa` S___—___. CLOSUREFEE=S234/TANK #TANKS X 5234= <br /> LOSURE <br /> ed Ins eclol6 TEMPORARY CLOSUR FEE a$234 i PACILITY <br /> ETAS) <br /> 7anNd <br /> PLAN CHECK <br /> Con cJ ui0n Inspe00n57 _ $ <br /> PL•AN CHECK FEE r$614!FACSLITY <br /> REPAIR PLAN CHECK <br /> TANK 10 --- —T p� <br /> TANKLININGRFP RFEE =$234?YANK. L#TANKSX$234= <br /> v r r <br /> TANK RMjRQEPE9 FACILITY — $ <br /> PIMN REPAIR FEE ■ 234/FgCIUTY <br /> MISG 8 <br /> $ <br /> _TPAN <br /> $F RFEE = S781 NOVR -- $ <br /> ATION FEE 781 HOUR <br /> LNAUTHORIZEO RELEASE EVALUATION FEE = S 76/HOUR $ <br /> 6AMFLING INSP6CTICN FEE = 5 78f HOUR <br /> ON TE. eXCEE P 'N1Ler BILL0 TO APPLICANT. <br /> OFFICE USE ONLY <br /> C{REOUE5T0 vo.CILt CHECK# RECEIYEO aY DARR <br /> aR ' <br /> In =�ti <br />