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UNDERGROt1ND STORAGE TANK PROGRAM - FEE WORKSNEET <br /> S 'FACILIIY SITE NAME <br /> FACILITY mMt - NAME Richard Thorpe <br /> I Donald Colvin <br /> I <br /> E FACILITY ADDRESS SITE PRONE / wl th AREA CSE <br /> 225 S Cresent N/A <br /> t <br /> CITY STATE ZIP CODE R of TANKS <br /> A Lodi, CA 95240 at SITE 1 <br /> P <br /> P APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> L Donald Colvin Richard Thorpe / Contractor <br /> I <br /> C MAILING ADDRESS APPLICANT PNONE / NI1N AREA CODE <br /> A 3565 Ridgewood Ct. <br /> N <br /> I CITY Concord CA 94518-15 ATE ZIP CODE TYPE of AP Removal <br /> (Closure, Installation, etc.) <br /> TOTAL <br /> 1966 1987 1988 1989 1990 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) - SID0.00 <br /> A t <br /> C <br /> 1 FACILITY PENALTY FEES ASSESSED (If Applicable) %XXX XXxx I f <br /> V TANK FEE 550.00/TANK (Prior to January 1,1991) 5170/YANK (After January 1, 1991) <br /> E <br /> R tanks = 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> F (multiply R by lee for <br /> A each year applicable) 2 <br /> c <br /> 1 LANK PENALTY FEES ASSESSED XXXX XXXX f <br /> L <br /> I STATE SURCHARGE = 156.00 each TANK (Due every 5 years) See California N 2 S Code, Section 25287 <br /> T <br /> Y R ranks x 556.00 1986 through 1990 1991 through 1996 <br /> (Enter amount and year) <br /> f <br /> C PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) TANK I.D. R(a) <br /> L <br /> 0 CLOSURE FEE - 178.00/hour (3 hours minimum/TANK) R TANK(s) 1 X 5234.00 1234.00 <br /> S <br /> U TEMPORARY CLOSURE (Plan Review b Inspections) TANK I.D. R(a) <br /> R <br /> E TEMPORARY CLOSURE FEE - S78.00/hour (3 hours minimum/FACILITY) = 2234.00 minimnT S <br /> P INSTALLATION PLAN CHECK (Plan Review 2 Construction Inspections) TANK I.D. R(s) <br /> L <br /> A <br /> N PLAN CHECK FEE - 578.00/hour (8 hours minimnVFACILITY) = 5624.00 minimum 1 <br /> R REPAIR FEE (Workplan Review 6 Construction Inspections) TANK I.D. N(a) <br /> E <br /> P TANK LINING REPAIR FEE = 578.00/hour (3 hours minimum/TANK) d TANK(s) X 1234.00 t <br /> A <br /> I TANK RETROFIT REPAIR FEE = 978.00/hour (3 hours min./FACILITY) = $234.00 mini" S <br /> R <br /> PIPING REPAIR FEE = 178.00/hour (3 hours minim"/FACILITY) = 2234.00 minimnI IT <br /> M1TRANSFERFEE = 120.00 UNAUTHORIZED RELEASE EVALUATION = 578.00/hr S <br /> 5 <br /> C I CONSULTATION FEE = 278.00/hr I SAMPLING INSPECTION FEE = S78.00/hr FE f <br /> TOTAL DUE jS2 4 <br /> FOR OFFICE USE ONLY <br /> .............. ..............«...._......«............_......_.._.._.................. .._ ..........«................................................_.................................................................__................_ <br /> NNw,N• RU,I MfIItMl,t1MN=IX,I,N=W,=M'M,NIW II,Y,NMfMfM nM••• MY YMM =M'wx,=MWetl falf„a,t,a sawaaa w„,xx„YMMw w,Ww,M MM n„a i„,fWa W'�a xwv,MMIM <br /> '7 ""g few aW`ITMETT''-m`tn-" MWA"'w` <br /> » I I I I a <br /> fia.. wi»::rw rYww'4Yi::Y::::»:.at:»S::A'n`»en.iw::car::a;::�=:sw::r rw viw iiwa x;.:»»w ::.:,::Y:»x:G::rw:w`,if...=...:FFA: <br /> M rx w.xr ra azw wr war wr men mos swan wwar wrAms wr wnwas mr ww wr ww wr"er"wr wr ww wr Are-rA------------ww wr wa-R"war wr mR war wr Awa w aw wr Awa As wrmw As As <br /> EN 23 032 (REVISED 3-1-931 Deae 11 <br />