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UNOERGRMMO STORAGE IAHK PROGRAM ICL Un N4161,cr <br /> 1 FACIL91Y UMIACI NAF1E <br /> FAPPLICAHI/DittiNO <br /> NANM Paul Souva <br /> Valley Wholesale Drug Co Inc. <br /> ss slit PIK,HE 8 with AREA COD1 (2091466-0131 <br /> 1x+01 W. fremont St. SIAIE i1P r"OE I of TANKS <br /> Cn X5203 .1111E 2 <br /> Lodi.,HARE APPLICANI CONIACi MAKE <br /> L Valley Wholesale Drug, Inc. Paul Souva <br /> 1 <br /> C J IIAILINO ADDRESS P 0 Box 206APPLICANI PHuNf I WIN AREA CODE <br /> r (209)4bb-0131 <br /> N <br /> 1 CITY SIAIE IIP rMf 1YP( of APPIICAIIOH New)Ya1 <br /> ' Stockton CA 25201 (Closure, Installation. etc ) <br /> iOtAl <br /> 1984 1987 1988 1909 1990 <br /> ' ANIMAL fACRIIV SEE {Prior to Jarsuary 1. {991) ■ 1100 00 ` <br /> A <br /> C <br /> I 7ACIIIIY PENALIV FEES ASSESSED (if Appllcebte) XKXX XXXX 1 <br /> ' 1 <br /> V IAHK LIE TSO 00/IAHK tPrIor to Jarruery 1.19911 _170/IAHK (After January 1. 19913 <br /> E <br /> 1986 1987 1986 1989 1990 1991 1992 1993 1994 1995 1996 <br /> I I,lift 11111y FUy Ise for <br /> ' A each year alpt Icsbl e) 1 <br /> C <br /> I IAIIX PENAill FEES ASSESSED XXXX XXXX 1 <br /> ( -.= <br /> SIAI( SURCHARGE - 156 00 each IAHK (DU. every 5 yews) See California R t S CoKle, Section 25281 <br /> t 1 <br /> V 01 a+lt s R 154 08 1966 through 1990 1991 through 1996 <br /> (E(sler swount ud year) <br /> 1 <br /> r P(RIIANENI It4SURf (Retmvat or Authorlled closure In Piece) ;ARK 1 0 I(s) �d 7 <br /> l <br /> 0 CLOSURE FEE • 17e 00/hour 43 hours minfam/IAHK) I IAHK(s) c� M 1251 00 • 1468.00 <br /> S <br /> U IEIIPORARY C14SURE (Plan Review l Inspectlate) IAHK 1 0 I(91 ibCO <br /> R <br /> E If1Y'ORARY Ct4SURE IES - /7e 00/hour 0 hours minl..m/FACILIIY) 1234 00 M1111RAn1 1 00 <br /> ' P IIISIAtLAIION PLAN CHECK (Plan Review L Colistruction IlnpectIO111) IAHK 1: <br /> �V # <br /> (9) <br /> 1 <br /> I ' A + <br /> N Pt AN CHECK FEE - 176 00/hour (8 hours Inlnfassrt/FACIt11Y) 9624 00 minlsasR 1 <br /> R REPAIR FEE (workplan R.Vlew 9 ConatfuctTOn Irspectlo"s) IAHK 1 0 #Is) <br /> ' P IAHK tlNIIIO REPAIR FEE - 978 00/hour 0 hours minl-iss/IANK) I IANK(s) X SZ34 00 + 1 <br /> A <br /> 1 (APOK REIROFII REPAIR FEE - 118 00/hotlr (3 hours nin /FACILIIr) - 9234 00 minla+re 1 <br /> ' R <br /> PIP1110 REPAIR FEE - 178 00/hour (3 hour• m6niffm"fACIt1110) - 1234 00 wlnlss4 1 <br /> II IRAIISIER IEE ■ 120 00 IAIAUIII(IIIIHO RELEASE EVAiUAIION ■ 179 00/hr <br /> I — <br /> S <br /> C r011SIR IA110H FEE a 116 00/hr — SANPLIHO INSPECIIOH FEE - 118 00/hr <br /> IOIAL DUE 1 <br /> OR OFFICE USE (11t Y <br /> .+....Nw.-.ry.rwMw----I.....r..—+....w. —w..rr....w—wr--tip.—..w....--n....www...wr..r-....�-�.-N r..w ww Iw.ww..w'?d I.r w.i wrM <br /> `SIi�F 1r�"■ ■i ry�l �` I`��i '" �`s �'[rl�l Ate( �� �r � � -r"x T1— <br /> r <br /> R <br /> w.ri.e...•.....y++� "w.o'.w.i...rr+r.....rrn....r�..a"P-..wV pr«...n :.iw...rw�...�w...r...Im"A..wr.....w..-..w+w,AAW www.w-r w..www.w w$,....,iwriwi�ww� <br /> RYI a f rRrM MJ raMf Wr MSR-W WY"WNW Yyie lrl lrrW Mr ttM 1M11M M�1/W l�W rW a�.e MMI Yn YMM W Mwr M.h�a W M�1M1 W WW Me IY�M YN AMMO 01Iw rMM MI AMiel MM JM■-aW MYN MN AM11-�M i11f Mfr <br /> ' IN 21 oft (REVISED 3 1 911 Pa4a 11 <br />