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STATE OF CALIFORNIA1f� � <br /> COST ESTIMATE r%` DEPARTMENT OF GENERAL SERVICE <br /> STATE DEFERRED MAINTENANCE PROGRAM CRITICAL HARDSHIP STATE ALLOCATION BOAR' <br /> SAS 40-12(REV.09/91) . <br /> -F1001 DISTRICT - -- COUNTY APPLICATION NUMBER <br /> Lammersville Elementary San Joaquin 40-77300 <br /> SCHOOL(SITE)NAME PROJECT CATEGORY p.E.,ROOFING) FISCAL TEAR <br /> Lammersville ' Underground Fuel Tanis 1991-92 <br /> CHECK ONE <br /> Preliminary Estimate(written estimate must be attached) <br /> Final Project Cost(Completion Notice must be attached) <br /> 1. PLANNING (Approvable expenditures explained in attached letter) <br /> a. ArchnecVEngineering Fee <br /> b. OSA Pian Check Fee(if applicable) $ <br /> c. Other (explain) ` Study ifs b� <br /> • J <br /> d. Total Planning $ <br /> 2. CONSTRUCTION Attach proposed work detail with an estimate signed by a contractor. if final cost, attach contract, specifications <br /> and completion notice. +� <br /> a. Repair/Replacement Cast d <br /> b. Other(explain and attach justification <br /> i.e., change order) $ <br /> c. Total Construction $meg $ gr 5 <br /> A <br /> 3. TESTS (explain and attach stification) . 1 $ -e- 3 3�, 5 i oK <br /> 4. INSPECTION (explain and attach justification) $ <br /> S. CONTINGENCIES(if project is NOT completed, use five percent of 11 nu 1 through 4) 23,901 <br /> Total Project Cost 15 I <br /> CONTACT PERSON TELEPHONE NUMBER <br /> Kenneth A. Olds (209) 835-0138 <br /> OISTFUCT SUPERI NDENT DATE <br /> August 31, 1992 <br /> rl � <br /> 3• <br /> 34. <br /> � 9 <br /> 3l 3�S . <br />