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SAN JOAQUIN CO PUBLIC HEALTH SERVICES - ENVIRONMENTAL NF1' -4 DIVSION <br />llu -RmND STORAGE TANK PROGRAM - FEE WORKSHEET , <br />S <br />FACILITY SITE NAME <br />( <br />1988 11989 1 <br />1990 <br />FACILITY CONTACT NAME <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = 5100.00 <br />%%XX %%%X <br />%XX% %X%% <br />XX%X <br />S XX%XX%%X <br />T <br />FACILITY ADDRESS <br />„r <br />A <br />SITE PHO E # with AREA CODE <br />`i 515-c��� <br />C <br />T <br />FACILITY PENALTY FEES ASSESSED (If Applicable) <br />XXX% %%XX <br />%XXX XX%% <br />XXKX <br />vi(' <br />I5170/TANK <br />CITY <br />(After January 1, 1991) <br />STAT <br />ZIP <br />CODE # of TANKS -t <br />3 l at SITE <br />A <br />( <br />E <br />1988 <br />1989 <br />P <br />ICU NC <br />NAME <br />1994 1995 <br />1996 1997 <br />1998 <br />APPLICANT CONTACT NAME <br />— <br />L <br />L <br />41 Tanks = <br />I <br />APPLICANT PHONE # WITH AREA CODE <br />MAILING ADDRESS <br />g <br />F <br />N <br />A <br />each year applicable) <br />%%%X <br />STATE <br />ZIP <br />CODE TYPE of APPLICATION <br />T <br />Cl �J <br />�.� <br />(Closure, Installation, a c. <br />%XXX <br />%%XX <br />X%%X <br />XX%�+x <br />XXXX <br />CI PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) TANK I.D. #(s) <br />LI # TANK(s)_ X 5234.00 = S <br />01 CLOSURE FEE = 578.00/hour (3 hours minimum/TANK) <br />STANK I.D. #(a) <br />U TEMPORARY CLOSURE (Plan Review 8 Inspections) <br />RS <br />E TEMPORARY CLOSURE FEE = 578.00/hour (3 hours minim /FACILITY) $234.00 mini mun <br />P� INSTALLATION PLAN CHECK (Plan Review 8 Construction Inspections)I TANK I.D. #(s) <br />L <br />A = $624.00 minimum S <br />N PLAN CHECK FEE = 578.00/hour (8 hours minimum/FACILITY) <br />a <br />RI <br />REPAIR FEE (Workplan Review 8 Construction Inspections) <br />1986 1987 <br />1988 11989 1 <br />1990 <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = 5100.00 <br />%%XX %%%X <br />%XX% %X%% <br />XX%X <br />S XX%XX%%X <br />A <br />„r <br />A <br />C <br />T <br />FACILITY PENALTY FEES ASSESSED (If Applicable) <br />XXX% %%XX <br />%XXX XX%% <br />XXKX <br />S X%Xxxxxx <br />I5170/TANK <br />(Prior to January 1,1991) <br />(After January 1, 1991) <br />V <br />TANK FEE = 550.00/TANK <br />E <br />1988 <br />1989 <br />1990 <br />1991 <br />1992 1993 <br />1994 1995 <br />1996 1997 <br />1998 <br />41 Tanks = <br />g <br />F <br />(multiply # by fee for <br />A <br />each year applicable) <br />%%%X <br />XXX% <br />XXXX <br />XX%% <br />X%X% <br />I <br />C <br />I <br />TANK PENALTY FEES ASSESSED <br />%XXX <br />%%XX <br />X%%X <br />XX%�+x <br />XXXX <br />S <br />5 / <br />STATE SURCHARGE FOR NEW FACILITIES ONLY-SU-549U'� VD <br />58.00 <br />throw h 1993 (556) 1993 through 1997 (S56) 1998 <br />9 <br />jy <br /># Tanks x <br />l <br />1998 <br />%X%%XXXXXXXXXXXXX%%X%XXXX%% XXXXXX%XXXXXXXXXXXXXXX% <br />5 <br />SURCHARGE FOR <br />CI PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) TANK I.D. #(s) <br />LI # TANK(s)_ X 5234.00 = S <br />01 CLOSURE FEE = 578.00/hour (3 hours minimum/TANK) <br />STANK I.D. #(a) <br />U TEMPORARY CLOSURE (Plan Review 8 Inspections) <br />RS <br />E TEMPORARY CLOSURE FEE = 578.00/hour (3 hours minim /FACILITY) $234.00 mini mun <br />P� INSTALLATION PLAN CHECK (Plan Review 8 Construction Inspections)I TANK I.D. #(s) <br />L <br />A = $624.00 minimum S <br />N PLAN CHECK FEE = 578.00/hour (8 hours minimum/FACILITY) <br />a <br />RI <br />REPAIR FEE (Workplan Review 8 Construction Inspections) <br />TANK 1.0. #(s) <br />P� <br />TANK LINING REPAIR FEE = 578.00/hour (3 hours minimum/TANK) <br /># TANK(s) __ X <br />$234.00 <br />„r <br />A <br />I <br />TANK RETROFIT REPAIR FEE = 578.00/hour (3 hours min./FACILITY) <br />= 5234.00 mini MUM <br />R <br />PIPING REPAIR FEE = 578.00/hour (3 hours minimum/FACILITY) <br />= S234.00 minimumWW <br />NI TRANSFER FEE = $20.00 <br />1 <br />S <br />C CONSULTATION FEE = S78.00/hr <br />N%we <br />RECEIVED <br />`/ <br />$ <br />DUE I S G' <br />