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Pg- I �SVOICE FOR OinMlGkrr COS3'3--soo f in510a <br /> <a mtp:6 s> <br /> Send payment to: State Dater Resources Control Board <br /> Underground Storage Tank Local Oversight Program Bill Date: <br /> PO Box 944212 10/05/93 <br /> Sacramenta, CA 94244-2120 <br /> Local Agency: SAN -614AQUM LOCAL HEALTH DIST. <br /> Site Location.- <br /> SITE <br /> ocation:SITS #k 9024 <br /> JUDITH BUR1CK B C AND b PROPERTIES <br /> RQBSRT A. BIANCHI FAMILY TRUST 1129 11TH ST W <br /> 350 VIA CONCHA TRACY, CA <br /> APTOS, CA 95003 95378 <br /> Total previously billed $ 934.13 <br /> Payment (s) received as of 08/16/93 $ 934.13 <br /> **New Charges - Billing Period-.01/02/93 through 06/30/93 $ 479.26 <br /> FUND: F Total amount due: $ 479.28 <br /> State Meatth and safety Code Sections 252!7.1 wall 25360 and Titte 42 of the United States Code Section 10"lb(h)(b) require recovery <br /> of cost& asadciate d with the toast &dersight program, Mhon yaur site was put in the Local oversight program, you received a <br /> Letter expisining that the State titer Resources Control Dowd !state Hoard) would bill you for public costs of cleanup overeiyht. <br /> This bill includes site speeffic and program management char". Sits specific charges directly relate to your site. tExamQles <br /> are sarptitg for soil and gratind water contamination, sitt inspection, aid reviewing eeperta and tasnhplans. A description of <br /> activity codes follows the Itemized char),es. Program management includes other costs associated with program operation. such costs <br /> may include: spec+e rchtal, office services and supplies, purchase of sampling etpaiprm , training and the salary and benefits of <br /> support personnel (i.s., clerieal staff, accautlartt, program supervisor). rrglR-4m mwwgmet charges are catcutated at not more <br /> than 50 percent of site specific charges. The exact rate is shown on the last page of your bftl. <br /> if yntr rcotived an fmokm for a previon bitting parted, tbooe charges ere &hoar as "Total Previousty RilLeda. Any payments you <br /> mode on the previous bitting we shorn sa "Payment Raceivedm. The total of any unpaid pravtous betance pule now eharges is <br /> shoe as 'Total Amount neem. <br /> see i temf ted list of trete &largos cn next page(s). <br /> FM INFOMTIOM CALL: LORI MIAS (916) 227-6525 <br /> - - ----- ---- ---- - --- -- - - - - -- - - - -- -- -cut on this line---- -- -- - - --- --- - - - - - --- --- -- <br /> Return this part with your check madd payable to SWRCB. Use the enclosed <br /> envelope and send to the address above. <br /> Local Agency; SAN JOAQUIN LOCAL HFAL`1'H DIST. Site #: 9024 <br /> Site Ltx-ation- <br /> 'JUDITH ERMICK B C AND D PRGPBRTIBS <br /> ROBERT A. BIANCHI FAMILY TRUST 1129 11TH ST N <br /> 350 VIA CONCHA TRACY, CA <br /> APTOS, CA 95003 95378 <br /> Total amount due: $ 479.28 <br /> linter anioant paid; <br />