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3605 ROSEDALE HWY SB989 BILLING APP 2015
BILLS & HERMIT STATEMENT PERMIT, 1� 1sa - /06 .. . W a B A s 8 n F/tL AST, 1 BAKERSFMM, FME DEPT* Prevention Services 1604 Truxtu n Ave Ste 401 Bad *rsWd CA 93301 Tel,.: (661) 326 -3979 • Fay (661) 852 -2171 PROPff" oLcno of r\ STMMNG nail: _ moot Da NAME ADDRESS PHONE No CITY STATE ZIP CODE PROJECT NM E PRO,T ADDRESS CONl RI4iG70F NAt1AE' C . DENSE NO. TYPE OF UCENSE EXPtAATION DATE P,4614 0b. �XYt fic..S ►C t $ O SCE tc� f1•� 30 .2oi 4' 2 "$ CONTRAC70R OOMPANY FAX NO. 84 ADDRESS } CITY ZIP umt.. .� ... . _ Llr AUl Revolts Moat be revre.lmd, mp ed, arjo approved PRIOR TO BEGINNING WORK ON THAT PRt�I�'�T. ■ -❑ Aistrts - Phew & Mormons - (Minimum Charge) $280.(0 ■' 84 98 ❑ over 10,000 SQ FE s¢ Ft x.028 ^ Permit fee s � ❑ Spriniders - New & Modifications - (Minimum Charge) $280.00 98 13 Over 10,000 ft Ft S4 Ft x.= =. Permit fee ■ 84 ❑ .Minor Sp*dder Modifications (< 10 heads) $ 96.00 [Inspeabn Only] ■ 98 ❑ Commercial Hoods — New & Mod'ons $ 470.00 w w ❑ Additional Hoods $ 58.W ; 84 ❑ 1 Spray Booms - New & Modiffications $470.00 ■ ■ /yam}.( VY ❑ Abo*r6tnd. Storage Tanks (lnstallaVodinsp: il4 Time) $180.00 ■ 82 ❑ Additional Tanks $ 96.00 : s2 ❑ Aboveground Storage Tanks (Remova/Inspect on) $109.00 ❑ Underground Storage Tanks (InsWaiionJlrnspection) $878.00 (per tank) Utsdet+gr+ound Storage7anks (Modification)" _.._ ...._ -. :0�f(per site) t. 13 Underground Storage Tanks (Minor Modification) $167.00 w ❑ U60.6 undStwage Tanks (Removal) $573.00 (per tank) ■ ❑ OiiweN `(tristatiafion) $ 96.00 w ■ 84 Mandated Leak Deftdon .(Testing) / Fuel Oonft.Ce413989. Note: $91500 foreach type of test /persft ( if sch ed f , •� C� -- - i 92 : X w &'• "' -f— �� -f �- C,¢�j �. ■. at the same Noe) D Tents $ 96.00 (per tent} w 84 ❑ Pyrotschnic - (Per.event, Pius insp. Fee 0 $96 per hour) $ 96.00 + (5 hrs. min. dmiby tee Ans)ectim4W6..00 ■ ■ 84 ❑ Abler hor�t'�s inWecdon fee $121.00 84 ❑ REa?JVEGnolll S)/FOCCOw -uP Inr:SPECnoN(sj $ 96.00 (per hour) w 84 ❑ Portable -LPG (Propane): NO. OF CAGES ?; $ 96.00 ■ o � � $266.00 ■ 84 ❑ Copying;& Fite Research (Fie Research Fee $50.00 per hr) 250. per page ■ ❑ MisceHapeous 1 - ORIGINAL WHITE (to Treasury) 1 YELLOW (to File) t -PINK (to Customer)