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1 <br />1 <br />.I <br />I <br />I <br />SAM JOAQUIN COUNTY �1C HEALTH SERVICES - ENVIRONMENTAL HEALTH uJ�OM <br />UMDERGROUMO STORAGE TANK PROGRAM - FEE WORKSHEET <br />C PERMANENT CLCSURE (Removal or Authorized Closure -in-place) I TANK I.D. AI <br />— <br />E <br />N TANK(s)_ % 5234.00 = s <br />D CLOSURE FEE = 578.00/hour (3 hours mininAan/TANI:) <br />STANK I.D. II <br />U TEMPORARY CLCSURE (Plan Review 8 Inspections) <br />R 1S <br />EI TEMPORARY CLOSURE FEE = S78.00/hour (3 hours miriaun/FALILITY) 2234.00 minimus <br />P INSTALLATION PLAN CHECK (Plan Review 8 Construction Inspections)I TANK I.D. #(S) <br />_ - <br />L <br />A5624.00 miniaun s <br />N PLAN CHECK FEE = S78.00/hour (8 hours mininAm/FACILITY) <br />R REPAIR FEE (Workplan Review 8 Construction Inspections) I TANK I.D. x(s) <br />E <br />FEE = $78.00/hour (3 hours minimlAn/TANK)N <br />FACILITY CONTACT NAME <br />FACILITY SITE NAME <br />CAPITOL AUTO SALES <br />5 <br />JAGENDER SINGH <br />1987 <br />I 1988 11989 <br />SITE PHONE N With AREA CODE <br />F�cLCdTYEA. MINER AVENUE <br />7 <br />FEE = $78.00/hour (3 hours min./FACILITY) = <br />(209) 466 9082 <br />ANNUAL FACILITY FEE (Prior to <br />January 1, 1991) = 5100.00 <br />STATE ZIP CODE Al of TANKS <br />CIT gTOCKTON <br />l <br />)(XXX <br />CA 202 at SITE <br />%%XX <br />%XXX <br />APPLICANT CONTACT NAME <br />i APPLICANT/BILLING NAME <br />JAGENDER SINGH <br />A <br />JAGENDER SINGH <br />i <br />APPLICANT PHONE it WITH AREA CODE <br />MAILING ADDRESS <br />S <br />= <br />l650 E. MINER AVENUE STOCKTON <br />CA 202 <br />q) 466 Q082 <br />C <br />STATE ZIP CODE TYPE of APPLICATION CLOSURE <br />FI CITY STOCKTON <br />CA 95202 (Closure, Installation, etc.) <br />xxxx <br />TOTAL <br />C PERMANENT CLCSURE (Removal or Authorized Closure -in-place) I TANK I.D. AI <br />— <br />E <br />N TANK(s)_ % 5234.00 = s <br />D CLOSURE FEE = 578.00/hour (3 hours mininAan/TANI:) <br />STANK I.D. II <br />U TEMPORARY CLCSURE (Plan Review 8 Inspections) <br />R 1S <br />EI TEMPORARY CLOSURE FEE = S78.00/hour (3 hours miriaun/FALILITY) 2234.00 minimus <br />P INSTALLATION PLAN CHECK (Plan Review 8 Construction Inspections)I TANK I.D. #(S) <br />_ - <br />L <br />A5624.00 miniaun s <br />N PLAN CHECK FEE = S78.00/hour (8 hours mininAm/FACILITY) <br />R REPAIR FEE (Workplan Review 8 Construction Inspections) I TANK I.D. x(s) <br />E <br />FEE = $78.00/hour (3 hours minimlAn/TANK)N <br />TANK(s)A % $234.00 = <br />5 <br />1986 <br />1987 <br />I 1988 11989 <br />1990 <br />FEE = $78.00/hour (3 hours min./FACILITY) = <br />5234.00 minims <br />ANNUAL FACILITY FEE (Prior to <br />January 1, 1991) = 5100.00 <br />ITROFIT REPAIR <br />)(XXX <br />XXXX <br />%%XX <br />%XXX <br />%%%X <br />S %xxxx%Xx <br />A <br />= 578.00/hr <br />S <br />= <br />520.00 UNAUTHORIZED RELEASE EVALUATION <br />M1 TRANSFER FEE <br />C <br />I <br />I <br />xxxx <br />%xxx <br />x%%X <br />%XXx <br />%%%x <br />S %xxx%%x% <br />T <br />FACILITY PENALTY FEES ASSESSED (If AppllCable) <br />_ <br />I <br />(Prior to January 1,1991) <br />5170/TANK <br />(After <br />January <br />1, <br />1991) <br />V <br />TANK FEE = 550.00/TANK <br />E <br />1988 1989 <br />1990 <br />1991 <br />11992 <br />1993 1996 <br />1995 <br />11996 11997 <br />1998 <br />X Tanks = <br />%%X% X%%X <br />%%X% <br />%X%X <br />%XX% <br />I <br />S <br />F <br />(achtyear P 'by tee for <br />A <br />each year applicable) <br />C <br />) <br />TANK PENALTY =EES ASSESSED <br />I %XX% %XX% <br />XXXX <br />%%%% <br />IXXXX <br />I I <br />I <br />S <br />Lf <br />I <br />STATE SURCHARGE FOR NEW FACILITIES ONLYv%18.50 <br />T <br />1988 th rou9t 1993 <br />(S56)1993 <br />through <br />1997 ;556)1998 <br />Y <br />Y Tanks__ x 18.00 <br />XXXXXXXXXXX%%%XX%XXXXXXXX%X <br />XXxx%x%%X%xxxxxxxxxxxxx <br />5 <br />SURCHARGE FOR 1998 <br />C PERMANENT CLCSURE (Removal or Authorized Closure -in-place) I TANK I.D. AI <br />— <br />E <br />N TANK(s)_ % 5234.00 = s <br />D CLOSURE FEE = 578.00/hour (3 hours mininAan/TANI:) <br />STANK I.D. II <br />U TEMPORARY CLCSURE (Plan Review 8 Inspections) <br />R 1S <br />EI TEMPORARY CLOSURE FEE = S78.00/hour (3 hours miriaun/FALILITY) 2234.00 minimus <br />P INSTALLATION PLAN CHECK (Plan Review 8 Construction Inspections)I TANK I.D. #(S) <br />_ - <br />L <br />A5624.00 miniaun s <br />N PLAN CHECK FEE = S78.00/hour (8 hours mininAm/FACILITY) <br />R REPAIR FEE (Workplan Review 8 Construction Inspections) I TANK I.D. x(s) <br />E <br />FEE = $78.00/hour (3 hours minimlAn/TANK)N <br />TANK(s)A % $234.00 = <br />5 <br />PFTANKNING REPAIR <br />FEE = $78.00/hour (3 hours min./FACILITY) = <br />5234.00 minims <br />$ <br />ITROFIT REPAIR <br />REPAIR FEE <br />_ $78.00/hour (3 hours mi nimu^'FACILITY) = <br />f234.00 minimum <br />= 578.00/hr <br />S <br />= <br />520.00 UNAUTHORIZED RELEASE EVALUATION <br />M1 TRANSFER FEE <br />I <br />I <br />S _ <br />$78.00/hr SAMPLING INSPECTION FEE <br />= f78.00/hr I <br />S <br />ClCONSULTATION FEE <br />FOR OFFICE USE ONLY <br />SWEEPS % COMPUTER iY I LOC <br />cN PZ OTJ rRFVt$FD 1-12-98) <br />DIST CODE 'AMOUNT RECEIVED II CHECK At/CASH <br />TOTAL DUE I S 234. 0 0 <br />BY I DATE RECEIVED <br />