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` SAN JININU(M CC PUBLIC HEALTH SFRVICES - ENVIRONMENTAL HEALTH DIVSION <br /> UNDERRRO1141) STURAOE TANK PROCRAN - FEE wnRKSiIEFT <br /> I FACILITY SI1E NAME FACILITY CONTACT NAME <br /> I Cal Tank Lines Inc. <br /> T _—_ __ ______ " _ Jack Bishop <br /> 'E FACILITY ADDRESS SITE PHONE N with AREA CODE <br /> A _ 3105 S. E1 Dorado St . _ (209)466-3554 <br /> CIT7ULIN — Sir <br /> T TEr 1 N of TANKS <br /> AStockton, �CA L 61g�06 et sure 2 <br /> P — . l- — - <br /> P apFHANE - -` "--LCal Tank Lines jnC, APPLICANT CONTACT NAME <br /> t ---- - F _ Jack Bishop <br /> C MAILING ADDRESS ..T APPLICANT PHONE N WITH AREA CODE <br /> A <br /> R .__-_________,__ P.O. Box 6245___ _- __5209 466-3554 <br /> T CITY STATE ZIP CODE TYPE of APPLICATION <br /> Stockton, CA 95206 (cleaure, Installation, eta.) Removal <br /> TOTAL <br /> ANNUAI FACILITY FEE (Prior to January 1, 1991) • 1100.00 1986 1587 1988 ]):V`Vx <br /> 1990 <br /> A <br /> %XX% XXX% XXXX XXX% f %%%XXXXX <br /> T FACILITY PENALTY FEES ASSESSED (If Applicable) %XX% XX%X XX%Y %%XX S XXXX%NXX <br /> 1 <br /> V TANK FEE 550.00/1ANK (Prior to January 1,1991) 5170/TANK (After January 1, 1991) <br /> E <br /> N Tanks Tom$ 1989 1990 1991 1992 1993 1994 1995 1996 1907 1098 <br /> r (multiply IF by for _- <br /> A each year applicable) XXXX XX%x XXxx XXXX XXxx 1 <br /> C <br /> I TANK PENALTY FEES ASSESSED XXX% %XXX XXxx Xxxx XXXX f <br /> L <br /> 1 STAVE SURCHARGE FOR NEW FACILITIES OILY=218.50 f <br /> Y M Tnnks_—__ x 38.00 1988 through 1993 -(S36) 1993 through 1997 (S56) 1998 <br /> SURCIIARGE FOR 1998 XXXXXXX%XXXXx%XXxxxxxxx%xxx %%%%xx%%x%%%%XXXXXXX%XX f <br /> E�TEMPORARY <br /> SURE (Removal or Authorized Closure-in-Place) TANK I.D. M(a) <br /> 578.00/hour (3 hours minimae/TANK) 0 TANK(s) � X 923d00 = $468 .00 <br /> SURE (Plan Review B Inspections) TANK I.D.URE FEE - 578.00/ham (3 hours minimum/FACILITY) $234.00 Minimus g <br /> FPLARTION PLAN CHECK (Plan Review $ Construction Inspections) TANK 1.0. N(A) <br /> CK FEE • $78.00/hour (8 hours minimum/FACILITY) . 3624-00 Minims, s <br /> R REPAIR FEE (Workp(an Review 6 Construction inspections) TANK I.O. M(4) <br /> P TANK LINING RIPAIR FEE • 978,00/hour (3 hours ml1VIMUN1ANK) I TANK(5) __� x <br /> A .--..--_-..----._...__ ----- ..._ .-._.----- <br /> I TANK RETROFIT REPAIR FEE + $78_00/Aa)r (3 hours min./FACILITY) a 92A,00 minimum g <br /> PIPING REPAIR FEE = $78.00/hour (3 hours miniesm/FACILITY)_— $234.00 minimae S <br /> N rRANSfER FEE + !20.00 UNAUTHORIZED RELEASE EVALUATION • 278.00/ht 1 <br /> 1 — <br /> S ------..... --------- — --- -- - _ <br /> C CONSULTATION FEE = 978.00/hr SAMPLING INSPECTION FEE f78.00/hr y <br /> TOTAL 011E f 468 <br /> ION OFFICE USI ONLY <br /> 9"'19!111"M1mm!1:f!.I <br /> ERIllfl4!!PF _!!!fly!�IIh1PIIM�IIIP!�!h�!np'll�nill!TIC'I'!�"1�9�IIIIIIIIIIII'�N!1',: Ip�11>IIIICI'ipgll)'!VI!I'!I!i!N�minpllioTlf!nlgllll�!I+"ry�q�HI�IIII�F+�N81N!I�IIInIHIBC�IINI�gfll;dl!IIIIiIIIIWIIWiillu <br /> SwlEPS M COMPUt M LOC COb! <br /> DICK R/CASH RECE IVEO BY DATE RECE IVEp <br /> NNIMI "N N9NI:NN!INNRF,NI!I'ys !"IhISi1Na!11611N°NN, <br /> 11"1196KN!1191!I�fNINN94 !IP1ppi.IRig!IMNfslii!MiCI.11N1 !B!9flhI�gpMIIM11iIIiNfIIIGHiP <br />