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� II <br /> SAN JOAQUIN COUNIT PUBLIC NEALIN SERVICES - ENVIRUNNEN IAT. HEALTH DIVSION <br /> UNDERcRUCAND STORAGE TANK PROGRAM - IEE WRKSIIEET <br /> FACILITY LITE MANE FACILITY CONTACT NAME <br /> ! <br /> ( building Systems Paul Hodnett <br /> Star <br /> F •/ACILtIY AODRE99 911E PROVE N wlth AREA COD! (209)727-5504 <br /> 12101 E. Brandt Rd. <br /> ! CITY StAIEI 21p CODE 0 o31 TANKS 1 <br /> A Lockeford, ICA I 95DD3 <br /> r --- ----'—'------ APPLICANT CONIACI MANE <br /> r APP'iCARt/RIU.ING NAME <br /> l _ _ Same as above <br /> MAILING ADDRESS TN APPLICANI PITON NITN EA CODE <br /> 09)Y -6175 <br /> N C--'f STATE ZIP CODE TYPE of APPLICA�tON <br /> r1 (closure, Inata )tion, etc.) <br /> TOTAL <br /> 1986 1987 1988 1989 1990 <br /> ANNUAL FACILITY FEE (Prior to Jftuu9ry 1, 1991) 9100.00 %XXX XXXX XXXX ! <br /> A — — <br /> C -- X%%X XXXX XXXX <br /> t rACILttY PENALTY TEES ASSESSED (11 Apptlenble) <br /> V MINK TEE 950.00/MNK (Prior to Jnrnrnry 1,1991) 1170/TANK (Alter Jararery 1, 1991) <br /> F 1986 1987 1988 1989 1990 190) 1992 1993 1994 1995 1996 <br /> U tenka = <br /> T (mulIITTyIV'yY3-fee Tor --- - - 9 <br /> A ench yenr flrj l nbleI XXNX XXXX XXX% _— <br /> C ! <br /> l IANIK rE11Al tY BEES ASSESSED XXXX XXXX XXXX <br /> 1 STATE SURCNAROE = 956.00 each TANK (Due every 5 years) See California N A 9 Code, Section 25287 L�0 i <br /> A lenke 1 % 95A.00 1966 lhrot h 1990 1991 through 1996 <br /> (Enter n rt and year) 9 <br /> - i <br /> r PEAMNENI CLOSURF (Reirovat or Aulhorkred Closure-in-Pince) tA71K I.D. U(s) - {) UeL :i <br /> —__— <br /> V CLnSImr, IEE - 08.00/hour (3 hours minhmm/IANK) U 1ANK(s) T X 9234.00 57 4.00 <br /> S IEII __--.--- R - — TANK I.D. R(a) <br /> V PORARY CLOSURE (Plan Review tnapCCt lnlla) <br /> E mirORARY CLOSURE IEE - 978.00/hour (3 hours minlwn/FACILITY) 9234.00 minimus S <br /> P INSTALLATION PLAN CHECK (Pion Review A Construction Inspections) TANK I.D. M(a) <br /> l <br /> N PLAN COF.CK IEE - 978.00/hour (8 hours minims%/IACILIIY) 9624.00 minimus <br /> R REPAIR FEE (Vorkptnn Review A Constructlon Inspections) MNK LD. U(a) <br /> F IANK LINTTIO REPAIR FEE - 978.00/hour (3 hours minimum/TANK) U IANK(s) _ X 9234.00 • t <br /> A : <br /> I IAIIK RETROFIT REPAIR FEE - 978.00/hour (3 hours min./FACILITY) = 5234.00 minlasso <br /> R --- = 9234.00 InInlnXsa t <br /> PIPING REPAIR /EE = 978.00/hour (7 hours minimm/FACILITY) <br /> M IAANSIER IEE - 920,00 UIIAUIITIA317.ED RELEASE EVALUATION + 978.00/hr t <br /> 1 <br /> d <br /> C C1.0NSULIA1I011 FEE = 978.00/hr SAIO'l INO INSPECTION FEE = 578.00/hr t <br /> MAL WE 1346.00 <br /> 1r11 !anu!:I���nm�mimimnm�i; <br /> nr;,ri";;iiur �m���iin� � m 'm"1i1m1imTd7c � � 1iimmmnmm�i�nm�mm��i�n hlimiiiuim�Ni <br /> m��m�mm�mm�mm�mAmam i <br /> F.II 23 032 (REVISED 4-29-94) rn9e It <br />