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PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK PROGRAM <br />UGST BILLING AUDIT <br />SITE- NAME: ;:-�k-a/iks Exx.A SWEEPS #: <br />ADDRESS: ` ;� q �/v �P"t 4 COMP #: <br />q, q l <br />I <br />ADDITIONAL <br />AMOUNT <br />PAID <br />ttttttttt,t <br />�SO f/o .ov <br />i; <br />I1�b`N <br />1'0 <br />$0 <br />MISC <br /># TANKS <br /># TANKS <br />UNAUTORIZED <br />ACTIVE STATE <br /># TANKS <br /># TANKS # TANKS PENALTY # TANKS <br />PIPING RELEASE <br />YEAR TANKS SURCHARGE <br />CLOSED <br />INST TEMP CL APPLIED REPAIRED <br />REPAIR INVESTI <br />INST <br />TEMP <br /># TANKS <br />PIPING <br />1985- 3A 311 G e2- <br />AMOUNT <br />YEAR <br />SURCHARGE <br />1987 ---300 a � y) <br />1 <br />FEES <br />FEES <br />FEES <br />1988 - -Soo CB'y <br />1990 <br />�.=(J" <br />(ol a 5 <br />REPAIR <br />INVESTI <br />r` - _ <br />40, dy -j- <br />Ole 70 °—SOAA.�+ rc�v�'� <br />g��D �, <br />.`-T991� <br />1986 <br />I <br />1993 <br />$0 <br />$0 <br />$0 <br />1994 <br />1995 <br />rR 9i <br />$0 <br />1987 <br />$0 <br />$0 <br />TOTAL 0 0 <br />0 <br />0 0 0 0 <br />0 0 <br />ADDITIONAL <br />AMOUNT <br />PAID <br />ttttttttt,t <br />�SO f/o .ov <br />i; <br />I1�b`N <br />1'0 <br />$0 <br />TOTAL AMOUNT DUE = $0 <br />Z tC ,r b <br />�1 b <br />0 S <br />PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK PROGRAM <br />UGST BILLING AUDIT <br />SITE NAME: SWEEPS if: <br />ADDRESS: COMP 1: <br />I TANKS it TANKS <br />ACTIVE STATE If TANKS ,¢ TANKS # TANKS PENALTY if TANKS <br />YEAR TANKS SURCHARGE CLOSED INST TEMP CL APPLIED REPAIRED <br />UNAUTORIZED <br />ADDITIONAL <br />STATE <br />UGT <br />PENALTY <br />CLOSURE <br />INST <br />TEMP <br /># TANKS <br />PIPING <br />RELEASE <br />AMOUNT <br />YEAR <br />SURCHARGE <br />FEES <br />FEES <br />FEES <br />FEES <br />CLOSURE <br />REPAIRED <br />REPAIR <br />INVESTI <br />BILLED <br />tttttttttttttttttttttttttttttttttttttt,rtttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttttt <br />1986 <br />$0 <br />SO <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />1987 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />SO <br />$0 <br />1988 <br />EO <br />$0 <br />$0 <br />$0 <br />SO <br />$0 <br />$0 <br />1989 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />1990 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />1991 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />1992 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />1993 <br />SO <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />1994 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />1995 <br />--------------------------------------------------------------------------------------------------------------------------------- <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />TOTAL <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />$0 <br />TOTAL AMOUNT DUE = $0 <br />Z tC ,r b <br />�1 b <br />0 S <br />PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK PROGRAM <br />UGST BILLING AUDIT <br />SITE NAME: SWEEPS if: <br />ADDRESS: COMP 1: <br />I TANKS it TANKS <br />ACTIVE STATE If TANKS ,¢ TANKS # TANKS PENALTY if TANKS <br />YEAR TANKS SURCHARGE CLOSED INST TEMP CL APPLIED REPAIRED <br />