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APPLICANT/ 11 <br />LUNG <br />MAILING. AD SS <br />ni <br />CITY <br />w <br />-ANNUAL FACILITY, FEE (Prior to=January t,': <br />1 <br />FACILITY PENALTY FEES ASSESSED (If Applil <br />1 TANK FEE = 550.00/TANK prior,tQ,J9 <br />Tanks = 1988. < 1981 <br />(multipty by fee for <br />e each year applicable) XXXX ,:XXX) <br />I TANK PENALTY FEES ASSESSED r, XXXX �(XX; <br />L <br />I STATE SURCHARGE FOR NEW FACILITIES,,,ONL;YlpI <br />T <br />t Tanks x $8,00 '98 <br />SURCHARGE FOR 1998 fXXXXXXX <br />041 RM 71, <br />ARY :CLOSURE,�fl .;,, <br />PERMANENT CLOSURE�(Removalor Authorixd Closure*in-Place) <br />TANK.I.D. #(s)"^ <br />LANK I.D. #(s) <br />x , <br />fEE "578.00/hour (3_ hours'MinimumlTANK) <br /># TANK(s) X 3234,00 <br />Sb24.00 minimum <br />CLOSURE <br />_ <br />i <br />J <br />TEMPORARY CLOSURE (Plan Reviiw, 8 Inspections) <br />TANK I.O. #(s) <br />�° a <br />; <br />2 <br />in�m^Y)5234.00 <br />FEE $78 Ofh u <br />minimuml <br />S <br />LAT%OMANCNE anIa ` IirFt1R►t tnspectians) <br />LANK I.D. #(s) <br />Sb24.00 minimum <br />_' T#SpRtP�totts) <br />TANK I.D. #(s) <br />''Q bttrs,ininimumfTANK) <br /># TANK(s) X 5234.00 - <br />$ <br />RI Q f ( hours min./FACtLtTY) a $234.00 minimum <br />IItNth!r(3,cxars,a�inimum lFACILITY> $234.00 minimum , <br />S <br />7-7 717 7771 <br />Ft;E;fEE f2Q:.0O IUNAUTHORISED.=RELEASE EVALUATION , 578.00/hr <br />S <br />ION fEE 78.001hr.4 FEE = 578.00/hr <br />$. <br />LTAT .SAMPLING.INSPECTION <br />f <br />T <br />TOTAL DUE <br />$ <br />" <br />'4't„N� <br />�' <br />8 <br />{ `F 4c34 <br />ONLY <br />E -USE s> $ <br />lfN' <br />$' <br />!$ <br />Ril <br />�REC(iVEO <br />am <br /># <br />.COMPUTER # LOC CSE <br />DIST CQDE„ "A IINT,RECEt D , CHECK, BY I.A <br />DATE RECEIVED <br />