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SAN JOAQUIN CCIUN'*—I LIC HEALTH SERVICES - EAVIRCNMEATAL HEAL,�JMICN UNDERGROUND STORAGE TANK PROGRAM ' FEE LCRXSHEET 5FACILITY SITE NAME FACILITY CONTACT NAME I T Tuff Boy Trailers 'Ei FACILITY ADDRESS SIT=- PHONE Y wi Ln AREA CODE 5151 Almondwood (209)239-1361 41 CITY STATE! ZIP CGDE V- or TANKS Al Manteca, CA 195337 at SITE 1 Pi APPLICANT/BILLING NAME APPLICANT CONTACT NAME Li Tuff Boy Leasing Martin Harris IAPPL:CANT PHONE 7 it TH AREA CODE L MAILING ACCRESS Al 5151 Almondwood I (209)239-1361 N', C:TY j STATEiP CCOE I TYPE of APPLiCATICN Manteca, CA I 5337 (Closure, InscalLaT;an, era.) Removal TOTAL 1986 1987 1988 1989 1990 I ANNUAL FAC:L:TY PEE (Friar to January 1991) = 5100.00 A I %XXX I %XXX %XXX XXXX %XXX 15 XXXXXXXX C Tj FACILITY PENALTY F"e?S ASSESSED (If Applicable) XXXX I %XXX-, =)(X I XXXX %XXX 15 %XX%X%XX I V! TANK FEE = 350.0C/TANK (Prior to Jaruary 1,1991) I 31$0/TANK CAf ler ;anuary 1, 1991) E FIX arks = 1988 11985 199C 1991 1992 1993 11996 1995 1996 1997 1998 (mtliibly i by fee for ! 1 f Al =acn year acplicable) XXXX I XXXX I XXXX %XXX (XXXX I i i II TANK PENALTY FEES ASSESSED XX%X !; XXXX I XXX% XXXX (XXXX I I j I S L , 1 1 ATE SURCHARGE FOR NEW FACILITIES ONLY=$18.50 $ T' T 0 Tanks_ x 58.00 I 1988 UrouSh 1995 (556) 1993 :1rough 1997 (556)1 1998 SURCHARGEFCR 1998 %XXXXXXXXXXXXXXXXX%XXXX%XXX XXXXXXXXX%XXX%XXXXXXX%X , j S Ci PERMANENT CLOSURE (Removal or Authorized Closure-in-?lace) TANK 1.0. S(s) I L1 01 CLOSURE FEE = S78.00/hour (3 hours minimm/TANK; 3 TANK;s;1_ X 5236.00 32 3 4 .0 0 i UI TEMPCRARY CLOSURE CPlan Review 3 Inseec:ions) TANK I.J. Q(s) 1j E TEMPORARY CLOSURE FEE = S78.00/hour (3 nours minimum/FACILITY) $2 4.00 :minimm s PI INSTALLAT:ON o'_AN CHECK (Plan Review 3 Cens:ruc:ior Inscecciors; -ANK I.D. :(s) I AlAi A I 1 41 PLAN CHECK FE? = 578.00/hour (9 hears minimum/FACILITY) = 5624._0 mi ni m.T S R! REPAIR FCE (Wcrkolan Review 3 Construction Insceccions) TANK :.). :(s) E, P! TANK L19:9G REPAIR FEE = Si B.JC/hour (3 hears minimum TANX) - TANK;s; % 5236.00 = I $ A' ; = 3236..,0 I TANK Re'F F'- RE?A'R = 378 00/hear (3 hours min./FAC:L:TY) minin¢ac R, I I PIPING RE?AIR FEE = 578.00/hour (3 'pours minimum/FAC L:TY) 3236.00 mi ni mart 5 M TRANSFER FEC o 520.00 I UNAUTHCRIZED RELEASE E'/ALL'AT:CN = 578.00/hr I I I S I S: I j CI CCNSUL'AT1 CN F`a = 378.00ihr i I, SAMP'_Z NG INSPECT:CN FEE = 3;9.00/hr TOTAL DUE I s134.00 1 FOR_OFFICE USE ONLY ZCMPJTER X I LCC CCO= I )IST CCAS AMOUNT RE__:VEC CHECK -;