Laserfiche WebLink
SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> U CUHD STORAGE TANK PROGRAM • FEE WORKSHk-, <br /> FACILITY SITE NAME FACILITY CONTACT NAME p <br /> .i <br /> C <br /> .I FACILITY ADDRESS SITE PHONE 0 with AREA CODE <br /> L l` ptve 83E3 <br /> I <br /> T CITY STATE ZIP CODE 0 of TANKS <br /> Y rS+GAL-0" CA 95320 at SITE <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P �I�♦hJ1 G6 SIC k-�A'Ra 1-�$i1N111—"tO�N <br /> L <br /> I MAILING ADDRESS APPLICANT PRONE 0 WITH AREA CODE <br /> c 43l W. t-kWC"C" q6 S-3 <br /> N CITY STATE ZIP CODE TYPE of APPLICATION tu <br /> T �jx D C� 9 5��" CLOSURE, I NSTALLAT ION, etc. CL051]RC- <br /> TOTAL <br /> A <br /> C 1986 1987 1988 1989 1940 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) ■ ;100.00 <br /> I s <br /> V <br /> E TANK FEE = $50.00/TANK {prior to January 1,1991) $170/1ANK (after January 1, 1991) <br /> F N Tanks 1986 1987 1998 1989 1990 1991 1942 1943 1994 1495 1996 <br /> A (multiply by fee for <br /> C each year applicable) s <br /> I <br /> L •TAT11 14KCAAAGO ■ 6$6.00 tteh TANK (Due awry II years) 6se California H i S Coda, Station 25287 <br /> T tit Tanks x $54.00 1986 through 1090 1991 through 11996 <br /> Y (enter mmunt and year) <br /> s ' <br /> PERMANENT CLOSURE (Removal or Authorized Claaure-in-Pieco) TANK I.D. N(s) <br /> C <br /> L CLO"E FEE ■ $53.00 par hour (3 hours minlaw per TANK)_ 9 TAHK(a) X $159.00 ■ S �� <br /> 0 <br /> . iQ4EriT4 8AN1Cik4 C4MRhNY90.3732/I2I I <br /> 1saCl,MCHFS P�kV 4V4NUR " <br /> ?ii' MQ_CEfYO,CALK Up NIA lb ase <br /> 4ERAL ¢NRIN ERlf'r4 &` NV�R4NM@NtTA4 4Qt�l'i'RAG7p ,, _ 400 E <br /> 431 VV'!IAT RZ? 1309}524-9653 .. <br /> MIODE$TQ,CALIFORNtq 96351 <br /> wo <br /> S <br /> Y Fz/I ; <br /> $oxxJ 7 <br /> �»Mw a«w.w ..►wiww.�M.7ar.tw.»e«.»wwoa.7M.oaa►7w►7M►MMI.M.7MeMM�►7....wa. .lww.MM .k...e..fM•M....r..Hw y»w Uou.we.)Mx.1H.»a»wsow <br /> s <br /> .......................... ......._................ .................... ............... f..� ��p`............ .................. j.'.4 .��/...............� <br /> EN 23 032 (REV 1/.10/911 ft Pace'11 <br />