Laserfiche WebLink
SAN JOAGUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISICH <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br /> FACILITY CONTACT NATE <br /> FACILITY SITE NAME <br /> F Lowell Rathe <br /> A Lowell Rathe Mobile Home Sales <br /> C SITE PHONE R with AREA CODE <br /> I FACILITY ADDRESS (209)948-0177 - <br /> L 2102 E. Charter Way <br /> I STATE LIP CODE IF of TANKS <br /> T CIYY Stockton, Ca. 95205 at SITE 1 <br /> A APPLICANT/BILLING NAME <br /> APPLICANT CONTACT NAME <br /> ° Same as above Same as above <br /> P <br /> L APPLICANT PHONE N WITH AREA CODE <br /> I NAILING ADDRESS <br /> C <br /> A STATE 21P CODE TYPE of APPLICATION <br /> N CITY CLOSURE, INSTALLATION, etc. Removal <br /> T <br /> ----�- TOTAL <br /> A 1986 1987 1988 1989 1990 <br /> C <br /> T ANNUAL FACILITY FEE (Prior to Jmwary I, 1991) !100.00 f <br /> I <br /> V5170/TANK (after January 1, 1991) <br /> E TANK FEE = 150.00/TANK (prior to January 1,1991) <br /> F B Tanks <br /> _ 1986 1907 1988 1989 1990 1991 1992 1993 1994 1993 1996 <br /> A (mil tlply by fee for f <br /> c ench year applicable) <br /> I <br /> L STATE SURCHARGE _ 156.00 each TANK (Due every 5 years) See California HAS Code, Section 2528 <br /> T R Tanks ■ 156.00 <br /> 1986 through 1990 1991 through 1996 <br /> y (enter arrant and veer) f / <br /> PERMANENT CLOSURE (Removal or Authorized Closure-In.Place) FTARK I.D. #(a) <br /> C — ! 15 .00 <br /> L CLOSURE FEE • 153.00 per hour (3 hours minimum per TANK) NK(s) 1 % $159.00 <br /> 0 T <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for review/Inspect Ions) TANK I.D. /(s) <br /> R IT IANK(s) _ K $150.00 S <br /> E TEMPORARY CLOSURE FEE = 2150.00 each TANK — <br /> P PIAN CHECK (InStett. Plan Review f Construction Inspections) TANK I.C. /(s) <br /> L <br /> Af <br /> N PLAN CHECK FEE - 153.00 per hour (8 hours minimum per facility) = 1424.00 m(nlmm <br /> R REPAIR FEE (workplan review It construction inspections) TANK I.D. B(a) <br /> E 2 <br /> P TANK AFFAIR FEE - 253.00 per hour (3 hours minimun/TANK) B TANK(s) _ K $159.00 = <br /> A <br /> 1f <br /> R PIPING REPAIR FEE = 153.00 per hour (3 hour minimum per facility = 1159.00) <br /> N CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> I <br /> S FEE = f 53.00/hr <br /> C FEE = 953.001 IEE = 153.00/hr <br /> TOTAL DUE 1 159.00 / <br /> OFFICEUSE ONLY ........ ...... .................. .............................. ....................................... <br /> IM Mw.MM•MI,Mm•NM.MM w1,tM MM MtI.IM II..FW.M MII,M MFw,XM WMVM MYW.M.w,NM <br /> +=IMm wI,M fM�MalT■IMI'}Me�M'wM MM,L�=N MM�=MM�wl MYN tM•�=M•,IM 11M,�IM I.'•5(+fI1"4`L�M�IIIW"1,N"M.'.W�..lIM.1wgiNY"Man`C'1,gM CM"I'iiM'IWIMM"M"MIYM,/YMFA1rIIM,.M XWMI�M w <br /> rZZ <br /> =■ <br /> MN.W IIMMIIY YMMIIM WMYMIIM <br /> ww wmw www www wwwwwww wo!!!w���w777rw wwwww wawwewwwwwAwwwawwrw wrr-rwwwwwrwmwwwlswm+■wAMwwww <br /> IN 23 032 (REV I/10/911 It ,< `�"�� I Psoe 1 1 <br />