Laserfiche WebLink
ITL .�at3ia�i •�� <br /> C4-03-2001 08 41�AM FROM �cri .I��5-C1VViRun3o`". 'AL HEALTri D:V',Si3sN <br /> UNDER •SND STORAGE TANK PRQG.RA. WORKSHEET <br />" I FACILITY NAtA :. FACILITY CONTACT NAME <br /> Souza Michael Souza ! <br /> FACILITY ADc ESS .I SITE PHdNE#YYITH ARk-A COLElith st <br /> i <br /> 209) 835=L3 0 <br /> Q'•Y II STATc I ,zip Cg i x OF TAN A7 SITE j <br /> fTrnny CA -F <br /> APPLICANT BILLING NAME APPLICANT CONTACT htE <br /> Ivizchael Souza <br /> f,PPLlGANT ISllAlL1N^a AD REBS I !APPLICANT PHONE V WITH ARIA CODE I <br /> 105 E. 10th St . : 209.835-8330 <br /> CITY STA;E I Zip CODg I CIRCLE WORK TO 81±cars : <br /> Trac € Closure <br /> Y CA 9537.6 Clasure !rtstaileCon Repair Retre, <br /> ACTIVE FACILITY " <br /> $500 FSC INCLUDES FACILITYFEE t 1 TANK 1996-1,see 200[ 2071� {Ss?CIX(R.u,ke)X(k v!years app�.Giaes) . <br /> 5125 PER QC Ar-'ER FiR$'I"TANK <br /> it $ <br /> TANK PENALTY ASSESSED � <br /> TANK SURCHAAGF.= 8!TANK <br /> sURCHARGE FOR FACIL,I$3 NOT ALREADY ON iNVENT CRY IN A CUPa PRGGRAM=5'.0 ACIL-,Y $ <br /> PER.uA FNT CLO URE <br /> (Rt±e•aval Cr Peanittec�Closure in Peace) .I <br />{ <br /> TANK ID CAC002360583 I CLOSURE FEE $269!rANK ZTAIVKS X S2ss - S261.00 " <br /> TZMPORARY CL05URE <br /> Plan Review and I ons <br /> TANK p#(s TEMPORARY CLOSURE FEE=S25, /FACILITY � <br /> INSTALLATION CHzcK I <br /> -M2n Check and ConstrUCton Ins ClOna <br /> WANK FD#(s): PL�N CS Ci F?e a$696/FACILITY I $ <br /> ;I <br /> REPMt PUFq CHECK <br /> it <br /> TANK jr,,# s`: <br /> TANK LINING SPAR FEE =S251!TANK � ie #TAWS X$26' <br /> -ANX RETROFIT REPAIR F'ce =$261 /FAC11 Y <br /> i <br /> PIPING REPA;R FEE =S28:/FACIL;TY i <br /> MISCELIJU'1 US <br /> I <br /> TRANSF R FEE = S 20 t I $ <br /> CONSULTA,TIQN F;: = S '/HOUR I <br /> l <br /> U>v:,I.TF-'ORI25L1 RELEASE EVALUATION FEE = S 87!HC-UR � $ <br /> SAMPLIrid IIrSPE�i ION FcE a S 87/HOJR <br /> f j <br /> �I <br /> ALL F-F.ES s B OP(THE 587 HOIjALY RA k. T1 ME THAT+JICEECS FEES PAi,7 W;LL SE 91LL>:D 7Q APPLICANT, <br /> QFFICE USE ONLY i <br /> 3ERYICF RE4UH8T iF FACEL:TY 10 I A7ti0UNT RlfCEIVaD GHECX M 2ECE--IV$D 8 PATE:RPC VEQ <br /> i <br />' Er+t3os�(REYI s--s-0j) TC]TP.L P.E1 <br />