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,a1 <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL NEALIN DIVSION <br />LWERGRO(HID STORAGE TANK PROGRAM - FEE WORKSHEET <br />S <br />FACILITY SITE NAME FACILITY CONTACT NAME <br />) <br />Henry Hansen Porperty Jim Verseput <br />- <br />T <br />'E <br />FACILITY ADDRESS SITE PHONE # with AREA CODE <br />1990 <br />200 S. Cherokee Lane N/A <br />A <br />STATE ZIP CODE <br />CITY Lodi, CA 95240 <br /># of TANKS <br />at Si7E 1 <br />CLOSURE FEE ' 478.00/11our (3 hours minimum/TANK) <br /># TANK(s) I K 4234.00 = <br />4234.00 <br />P <br />APPLICANT/BILLING NAME <br />APPLICANT CONTACT NAME <br />L <br />Henry Hansen c/o Right Way, Inc. <br />Jim Verseput <br />C <br />MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />A <br />2120 W. L,ddi Ave. <br />(209):360-7 <br />N_—_- <br />___ ..__ <br />,U5 <br />T <br />CITY <br />STATE <br />ZIP CODE <br />TYPE of APPLICATION <br />Lodi,-1CA <br />95240 <br />(Closure, Installation, etC.) HESmval <br />TOTAL <br />C <br />PERMANENT CLOSURE (Removal or Authorized Closure•in•Place) <br />1986 <br />1987 <br />1988 <br />1989 <br />1990 <br />TANK LINING REPAIR FEE = 478.00/hour (3 hours minimm/TANK) <br />— <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = 4100.00 <br />0 <br />CLOSURE FEE ' 478.00/11our (3 hours minimum/TANK) <br /># TANK(s) I K 4234.00 = <br />4234.00 <br />S___.—.__-____ <br />A <br />%X%X <br />XX%K <br />XXX% <br />XXXX <br />%%XX <br />5 %%XXXXXX <br />E <br />C <br />__ <br />S <br />T <br />FACILITY PENALTY FEES ASSESSED (If Applicable) <br />XXXX <br />XXX% <br />XXXX <br />XXXX <br />XX%X <br />S XXXXXXX% <br />I <br />- <br />V <br />TANK fig = 550.00/TANK (Prior to January 1,1991) <br />5170/TANK (After January 1, 1991) <br />E <br />F <br />N Tanks <br />(multiply Wby fee for <br />1988 <br />1989 <br />1 1990 <br />1 1991 <br />1992 <br />1993 <br />1994 <br />1995 <br />1 1996 <br />1 1997 <br />1998 <br />X%XX <br />XXX% <br />XX%% <br />XXXX <br />XXXX <br />1 <br />A <br />each year applicable) <br />C <br />I <br />TANK PENALTY FEES ASSESSED <br />XX XX <br />XXXX <br />X%XX <br />XXX% <br />XX%X <br />S <br />L <br />1 <br />STATE SURCHARGE FOR NEW FACILITIES ONLY=418.50 <br />418,50 <br />Y <br /># —T"-k;—i7. $8.00 <br />1988 through 1993 (456) <br />1993 through 1997 ($56) <br />1998 <br />8,00 <br />SURCHARGE FOR 1998 <br />XXXXXXXXXXXXXXXXXXXXXXXXXXX <br />XXXXXXX%XXXXXX%KXXX%%XX <br />4 <br />C <br />PERMANENT CLOSURE (Removal or Authorized Closure•in•Place) <br />TANK I.D. #(s) <br />L <br />— <br />A <br />TANK LINING REPAIR FEE = 478.00/hour (3 hours minimm/TANK) <br />— <br />N <br />0 <br />CLOSURE FEE ' 478.00/11our (3 hours minimum/TANK) <br /># TANK(s) I K 4234.00 = <br />4234.00 <br />S___.—.__-____ <br />_..__.--_._______.__._.._. _._. <br />$234.00 minimum <br />U <br />TEMPORARY CLOSURE (Plan Review d Inspections) <br />TANK I.D. #(5) <br />E <br />TEMPORARY CLOSURE FEE = 478.00/hour (3 hours minimum/FACILITY) <br />$234.00 minimum <br />S <br />P <br />INSTALLATION PLAN CHECK (Plan Review 1 Construction Inspections) <br />TANK 1.0. #(a) <br />L <br />A <br />TANK LINING REPAIR FEE = 478.00/hour (3 hours minimm/TANK) <br /># TANK(5) % 4234.00 = S <br />N <br />PLAN CHECK FEE - 578.00/hour (8 hours miniMM/FACILITY) 5624.00 minima <br />$ <br />R <br />REPAIR FEE (Workplan Review S Construction Inspections) <br />TANK LD. #(a) <br />S <br />P <br />TANK LINING REPAIR FEE = 478.00/hour (3 hours minimm/TANK) <br /># TANK(5) % 4234.00 = S <br />CONSULTATION FEE _ 478.00/hr SAMPLING INSPECTION FEE _ $78.00/hr <br />-- <br />1 <br />TANK RETROFIT REPAIR FEE - 478.00/hour (3 hours min./FACILITY) <br />a $234.00 minimus f <br />PIPING REPAIR FEE = 478.00/hour (3 hours minimum/FACILITY) <br />$234.00 minimum <br />f <br />M <br />TRANSFER FEE = S20.00 UNAUTHORIZED RELEASE EVALUATION a 178.00/hr <br />S <br />C <br />CONSULTATION FEE _ 478.00/hr SAMPLING INSPECTION FEE _ $78.00/hr <br />$ <br />TUYAL ObE 5 260.50 <br />