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SAN "QUIN (XI Y PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEr'TN DIVSIOM <br /> U OUND STORAGE TANK PROGRAM - FEE WORKSHEET <br /> S FACILITY SITE NAME FACILITY CONTACT NAME <br /> I ' Newark Sierra Paperboard Mill Dave Won <br /> T <br /> "E FACILITY ADDRESS SITE PHONE # with AREA CODE <br /> 800 West Church Street 209-466-7088 <br /> i <br /> CITY STATE ZIP CODE At of TANKS <br /> A Stockton CA 95203 at SITE one <br /> P <br /> P APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> L Harding Lawson Associates Cary Haeck <br /> I <br /> C MAILING ADDRESS - APPLICANT PHONE # WITH AREA CODE <br /> A 10265 Rockingham Drive, Suite 150 916-364-0793 <br /> N <br /> T CITY STATE ZIP CODE TYPE of APPLICATION Removal/Closure <br /> Sacramento CA 95827 (Closure, Installation, etc.) <br /> TOTAL <br /> 1986 11987 11988 1989 1990 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br /> A %XXX XXXX I XXXX I XXXX %XXX S XX%XXXXX <br /> C <br /> T FACILITY PENALTY FEES ASSESSED (If Applicable) I XXXX I %XXX I XXX% I XXX% XXXX S XXXXXXXX <br /> 1 <br /> V TANK FEE = 550.00/TANK (Prior to January 1,1991) 5170/TANK (After January 1, 1991) <br /> E <br /> Al Tanks = _ 1988 1989 1990 1991 1992 1993 1994 1995 11996 1997 1998 <br /> F (multiply # by fee <br /> forjxxxx <br /> A each year applicable) XXXX XXXX I XXXX I XX%X %XXX I I I S <br /> C <br /> I TANK PENALTY FEES ASSESSED XXXX XXXX I XXX% I XXXX (XXXX I I S N/A <br /> L <br /> I STATE SURCHARGE FOR NEW FACILITIES ONLY--$18.50 S <br /> T <br /> Y # Tanks x 58.00 1988 through 1993 (S56) 1993 through 1997 CS56) 1998 <br /> SURCHARGE FOR 1998 XXXXXXXXXXX)(XXXX%%XXXXXXXX% X%XXXXXXXXXXXXXXX)00(XXX S N/A <br /> C PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) TANK I.D. #(a) <br /> L <br /> 0 CLOSURE FEE = S78.00/hour (3 hours minimum/TANK) I # TANK(s)_ X x234.00 [E234,00 <br /> S <br /> U TEMPORARY CLOSURE (Plan Review 8 Inspections) TANK I.D. #(s) <br /> R <br /> E TEMPORARY CLOSURE FEE = S78.00/hour (3 hours mininA/FACILITY) 5234.00 minimum S N A <br /> P INSTALLATION PLAN CHECK (Plan Review b Construction Inspections) TANK 1.0. #(s) <br /> l <br /> A <br /> N <br /> PLAN <br /> CHECK FEE = 578.00/hour (8 hours minimum/FACILITY) 5624.00 minimus E N/A <br /> R REPAIR FEE (Workplan Review d Construction Inspections) TANK I.D. #(s) <br /> E <br /> P TANK LINING REPAIR FEE - 578.00/hour (3 hours minimum/TANK) # TANK(s) _ X S234.00 = S N/A <br /> A <br /> I TANK RETROFIT REPAIR FEE = S78.00/hour (3 hours min./FACILITY) = S234.00 minimum S N/A <br /> R <br /> PIPING REPAIR FEE = S78.00/hour (3 hours minimum/FACILITY) = S234.00 minimum S N/A <br /> M TRANSFER FEE = S20.00 I UNAUTHORIZED RELEASE EVALUATION = 578.00/hr I I 5 N/A <br /> f <br /> 5 <br /> C NSULTATION FEE = 578.00/hr I I SAMPLING INSPECTION FEE = S78.00/hr I $ <br /> CO <br /> TOTAL DUE S r}4-y r,)- <br /> FOR <br /> }FOR OFFICE USE ONLYExpedited Turnaround Time - 5 da 1 .5 X = 351 .00 X51... ......._,_.... <br /> ::- - --- -... ..__-- ---- - 44 <br /> SWEEPS At COMPUTER At LOC CODE DIST CODE AMOUNT RECEIVED CHECK At/CASHRECEIVED 3Y DATE RECEIVED <br /> v <br /> 3 E I <br /> EH 23 032 (REVISED 1-12-98) <br />