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ICES - <br /> IAL <br /> SAN JOAWIN 1�iGRQ L1 WORAGE TANKVPRRO" - FEE WRNKSHEENETALtN DtVSION <br /> ' •Y <br /> FACILITY CONTACT NAME <br /> LILY SITE NAME `,(fah <br /> �E <br /> _ •F! C �i ' flit PNd1E N with AREA CODE <br /> Ily ADDRESS - <br /> � �ti� :• . <br /> fiA/jDj LIP CODE TANKS <br /> Illy � at SITE <br /> /— O ,•I9 �� <br /> A �.r C._.� 1r,V APPLICANT CONTACT NAME <br /> I• <br /> P APPLICANT/GILLING NAMEI �_' <br /> I : U > L _ /C" �✓ <br /> 1 L/IC,..zr�C( APPLICANT PHONE I YITN A <br /> C MAILING ADDESS <br /> $TAT! ZIP COD! Typo of APPLICATION <br /> I clly I / �jS�2v S� (Cloture, Iflet8llatl0n, etc. <br /> U i <br /> ,,--_ 1966 1967 1968 1969 1990 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) • $100.00 s <br /> A <br /> C .. ._...— %%%% %%%% <br /> ( SESSED (If Appl lcable) <br /> FACILITY PENALTY FEES AS <br /> I --- 1991) 2170/TANK (After January 1, 1991) <br /> v MIK FEE SSO.00/TANK (pylar to January 1, <br /> 2 1991 1994 1995 1096 <br /> E ---- 1986 1987 1988 1989 o 1991 199 <br /> 199 <br /> V Tanks $ <br /> F (multiply AT by fee for <br /> A each year applicehle) S <br /> %X%% <br /> I TANK PENALTY FEES ASSESSED %%%% <br /> 1 ..,... <br /> I STATE SURCHARGE $56.00 each TANK (Due every S ynrq Ne California N t S Code, Section 2528 <br /> — 1 1966 through 199( 1991 through 1996 <br /> Y N Tanks—_ A556.00 <br /> (Enter amount end Veer) <br /> ..- TANK I.D. IU) vu' <br /> r PIRMANENT CLOSURE (Removat or Authorized Closure-In-PlseU X !234.00 <br /> I <br /> .. _..— N TANK(q <br /> n CLOSURE FEE • S78.00/hour (3 hours minieua/iANK) <br /> S TANK I.D. Its) <br /> u TEMPORARY CLOSURE (Plan Review S Inspecti0m) <br /> x (236.00 $ <br /> 1 if:MPORARY CLOSURE FEE + !78.00/hour (3 hour• IRInIaasN1ANK) 1 TANK(!)__ <br /> P INSTALLATION PLAN CHECK (Plan Review S Construction Inapeetlone) TANK I.D. I(e) - - <br /> 1 S <br /> A $624.00 minlaess <br /> N PLAN CHECK FEE • S78.00/hour (8 hours minlmue/FACILIIY) <br /> R REPAIN FEE (workplan Review L Construction Inspections) <br /> YANK t.D. N(a) <br /> P _ I TANK(s) % (234.00 f <br /> p IAIIK LINING REPAIR FEE • $78.00/hour (3 hours minimum/TANK) <br /> A ------ a $234.00 minimus $ <br /> I TARK RETROFIT REPAIR FEE • $78.00/hour (3 hours min./FACILITY) <br /> MFACILITY) s $234.00 minimum f <br /> PIPING REPAIR FEE • $78.00/hour (3 hours minim. <br /> M TRANSFER 111! a $20,00 <br /> UNAUTHORIZED RELIAII EVALUATION • !78.00/hr f <br /> < ----- a !)8.00/hr f _— <br /> c CCNISULTATION FEE • $76.00/hr SAMPLING 1NSPECTId1 FE! <br /> --- -.... TOTAL Due 3 . <br /> '•Q Of FICE USE ONLY <br /> ;Il�a�liii�ulilllll llill�l�ll VA I VAR= <br /> ;DEEPS 0 COMPUTER N LOC CODE DIST CODE AMOUNT AEC$IVSD CHECKMi— <br /> SX RICEIVSD /Y DATE REL!IVfD <br /> _ <br /> r, !.C.I.'IIFIII!tlllli�lulll�laulu0111uulllmll I�fll��ltl / , <br /> nl !S 032 (REVISED 11-1.92) CPage IT <br /> 11 1• <br />