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SAN JOACUIN CC PUBLIC HEALTH SERVICES - ENVIRONMENTAL HE" ' DIVSION <br /> UNUiXGRCUND STORAGE TANK PROGRAM - FEE WORKSHEEEETTIwoOV AM <br /> S FACILITY SITE NAME FACIL TYSMI IHSONE <br /> I LA FINCA NO. 1 PARTNERSHIP <br /> T LO <br /> SITE,PHONg x with AREA CODE <br /> 'E FACILITY ADDRESS 1611 S. AIRPORT WAY <br /> to <br /> 3 clTr STOCKTON jCA <br /> ZIP CODE X of TANKS ONE TO BE REMOVED <br /> A 95206 at SITE <br /> P APPLICANT CONTACT NAME <br /> P APPLICANT/BILLING NAME <br /> L LA FINCA PARTNERSHIP NO. 1 FLOYD SPAITHSON <br /> C MAILING ADDRESS <br /> APPLICANT PHONE x WITH AREA CODE <br /> A P.O. BOX 1307 C530� 478 6464 <br /> N SLTATE 97 14CppE TYPE of APPLICATION C,I � � <br /> T CITY GRASS VALLEY H 7y 7 (Closure, Installati dlL <br /> TOTAL <br /> 1986 11987 11988 1989 11990 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) = 5100.00 xxxx XXXx I xXx% I XXXX I X%Xx 5 XX%xXXXX <br /> A <br /> C I XXXX I %X%X i XX%X XXXX I XXX% 5 X%XXXXXX <br /> T FACILITY PENALTY FEES ASSESSED (If Applicable) <br /> V TANK FEE = S50.00/TANK (Prior to January 1,1991) <br /> EX Tanks 1988 1989 1990 1991 11992 1993 11994 11995 11996 11997 1998 <br /> = <br /> F emul tiply i fee for f <br /> A each year apptpl!cable) XX%X XXXX I XXXX I %XXX XXXX <br /> C 5 <br /> I TANK PENALTY FEES ASSESSED %x%% I xxxx F X%xX XX%X I%%XX <br /> L f <br /> I STATE SURCHARGE FOR NEW FACILITIES ONLY=518.50 <br /> T 1998 <br /> Y x Tanks_ x 58.00 1988 through 1993 ($56) 1993 through 1997 (556) <br /> SURCHARGE FOR 1998 <br /> xxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxx 5 <br /> C PERMANENT CLOSURE (Removal or Authorized Closure-in-P Lace) I TANK I.D. %(s) <br /> L0 TANK(s) X 5234.00 = S 234. 00 <br /> 0 CLOSURE FEE = S78.00/hour (3 hours mininxWTANK) I �N+< <br /> STANK I.D. 0(s) <br /> U TEMPORARY CLOSURE (Plan Review 8 Inspections) <br /> R 5 <br /> E TEMPORARY CLOSURE FEE = S78.00/hour (3 hours minimum/FACILITY) I f234.00 minimum <br /> P INSTALLATION PLAN CHECK (Plan Review-8 Construction Inspections) TANK I.D. X(s) <br /> L <br /> A S <br /> N PLAN CHECK FEE = S78.00/hour (8 hours minimum/FACILITY) = 5624.00 minimum <br /> R REPAIR FEE (Workplan Review 8 Construction Inspections) TANK I.D. *(f) <br /> E S <br /> P TANK LINING REPAIR FEE = S78.00/hour (3 hours minimum/TANK) 9 TANK(s) _ X 5234.00 = <br /> A = S234.00 minimum S <br /> I TANK RETROFIT REPAIR FEE = S78.00/hour (3 hours min./FACILITY) <br /> R5 <br /> PIPING REPAIR FEE = S78.00/hour (3 hours minimum/FACILITY) = 5234.00 mini" <br /> M TRANSFER FEE = 520.00 UNAUTHORIZED RELEASE EVALUATION = 578.00/hr <br /> S <br /> Hl <br /> Si78-00/hr I I S <br /> C CONSULTATION FEE = S78.00/hr SAMPLING INSPECTION FEE <br /> TOTAL DUE s 234.00 <br /> FOROFFICE USE ONLY <br /> . :_ :_::r:- .:v:-fig. fillim--� wog=:s:_._...._..__ .—_. ._.__.,::-.,__. _ <br /> ...._.. --=:rte--:!:_-�.�::�,:. K__. _:: ..... <br /> SwEM.EPS X COMPUTER x LOC CODE DIST CODE AMOUNT RECEIVED I CHECK 9/CASH RECEIVED 3Y DATE RECEIVED _ <br /> _! S _- <br /> . ... ........... <br /> �:, �z n:a ionn<cn t-17-OA1 <br />