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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br /> • FACILITY SITE HANE FACILITY CONTACT NAME <br /> FWeber Point Jim Thorpe Oil Inc. <br /> A <br /> C SITE PHONE / with AREA CODE <br /> 1 FACILITY ADDRESS N/A <br /> L 141 N. E1 Dorado St. <br /> STATE ZIP CODE I) of TANKS <br /> T CITY ■t SITE <br /> Y Stockton Ca <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME Resna Industries <br /> C.M. Weber Enterprises Inc. <br /> P Escalon, Ca. <br /> P <br /> L APPLICANT PHONE M WITH AREA CODE <br /> 1 MAILING ADDRESS 3757 College Ave. <br /> C <br /> A STATE 21P OD TYPE of APPLICATION <br /> N CITY Sacramento, Ca. 95 1 ctosuu, INSTALLATION, ■tC. <br /> T <br /> _ tOtAL <br /> A 1986 1987 1988 1989 1990/ 91 <br /> C <br /> T ANNUAL FACILITY FEE (Prior to January I, 1991) 1100.00 f 00.00 <br /> 1 <br /> V1170/LANK (anter January 1, 1991) <br /> E TANK FEE = 150.00/TANK (prior to January 1,1991) <br /> F R Tonka 1 1986 1907 1988 19119 1990 1991 1992 1993 1996 1995 1996 <br /> A (MItIpt; fee for X R 6220.00 <br /> c each year applicable) <br /> 1 <br /> L [=CHARGESTATE SUR156.00 each TANK (Due every S year!) Sae California H S S Code, Section 25287 <br /> 1 1991 through 1996 <br /> T1 N 956.00 1986 through 1990Yount and year) ! 56.00 <br /> PERMANENT CLOSURE (Removal or Authorized Closure-In-Place) TANK I.D. R(s) <br /> C <br /> L CLOSURE FEE - 153.00 per hour (3 hours minimum per TANK) / TANK(s)_L_ K 1159.00 - t 159.00 �.�� <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A uxte-tlnue permit, for review/Inspect Iona) LANK I.D. t(a) <br /> RR TANK(%) _ X 1150.00 S <br /> E TEMPORARY CLOSURE FEE - 1150.00 each TANK <br /> P PIAN CHECK (Install. Plan Review A Construction Inspections) TANK I.D. /(s) <br /> L <br /> Af <br /> N PLAN CHECK IEE 153.00 per hour (8 hours minimum per Facility) 1426.00 minlmm <br /> R REPAIR FEE (workplan review S construction Inspections) TANK I.D. #(a) <br /> - <br /> E <br /> P TANK REPAIR FEE - 553.00 per hour 0 hours minimuNTANK) If TANK(s) _ X ' 1159.00 > 1 <br /> A <br /> 1t <br /> R PIPING REPAIR FEE = 553.00 per hour (3 hour minimus per faclllty - t1S9.00) <br /> N CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> I <br /> S - IEE = f 53.00/hr <br /> C IEE _ 157.00/hr FEE [53.00/hr <br /> TOTAL DUE 1 <br /> OFFICE USE ONLY .............._ .........------_.......t _........... � <br /> Imp- <br /> IL rr'w�xla5w�w�mwlnw�iawaJwN�rlwwlMFlR m�it%N NlC!(VEO 9IDAIE n`k��••�" Mw■ <br /> e �SVf Fi'S mM I.Rm'UIkN /~ > LfN: C(x1E UI51 CW! /11XA1a1 NCW <br /> w�y>-"q, �j7„yA„ wwaww w>www+++>i,+..+wwr«,w4www+wwww>ww>wwwiw,wi 'www>rw wwwi>wr w+wwwwww w <br /> <~Maur MmM MMaM MMMMMeMM�aMMeMMNemW mIMMMMMMMMMM■M MmMMtMMAMW M■M MAMwMMMNMInmA ma m,ar AammaMMMaMM <br /> ER 23 032 (REV 1/10/911 it Peat 1 1 <br />