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RAN J0AWIN COUNTY PUBLIC HFALTH SERVICES - ENVIRONMENTAL HEALTH DIVMION <br /> II111EArR01IND STORAGE TANK PROGRAM - FEE WRKSIIEET <br /> R FACILITY SITE NAME FACILITY CONTACT NAME <br /> Lincoln Unified School Dist. Maintainence Yard Tan Fogas <br /> 'E FACILITY ADDRESS RITE PHONE $ with AREA CODE <br /> 6749 14arristimix Place (209)953-8585 <br /> CITY STATE ZIP CODE A of TANKS <br /> A Stockton, CA 95207 at SITE 3 <br /> P _..�--.------.._-- '--_--- ----- -- -___.. _----- <br /> P APPLICANT/NILLING NAME APPLICANT CONTACT NAME <br /> L <br /> t _Lincol(L_Un � Sarah Hart <br /> C MAILING ADDRESS Y APPLICANT PHONE M U17N AREA CODE <br /> A 2010 W. Swain Rd. (209)953-8700 <br /> T CITY <br /> STATE TYPE TYPE of APPLICATION <br /> Stockton, b Y (Closure, Installation, etc.) R.anoVal <br /> TOTAL <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) - 51001986 1987 1988 1989 1990 <br /> .00 <br /> A Xxxx xxxx xxxx I xxxx xxxx <br /> C- <br /> T FACILITY PENALTY FEES ASSESSED (If Applicable) XXXx XXXX XXXK XXxx xxxx <br /> I <br /> V TARK FEE a 530.00/TANK (Prior to January 1,1991) 5170/TANK (After January 1, 1991) <br /> E <br /> 5 tanks 1988 1989 1990 1991 1992 1993 1994 1995 19% 1997 1998 <br /> r (multiply W fee for <br /> A each year opplicable) xxxx xxxx xxxx xxxx xx)X $ <br /> I TANK PENALTY FEES ASSESSED x%XX XXXX XXXX XXXX XXXK $ <br /> L <br /> I STATE SURCHARGE FOR NEW FACILITIES ONLY=518.30 5 <br /> Y 5 Tnnks_—_ A 58.00 1988 through 1993 (536) 1993 thrmmh 1997 (S56) 1998 <br /> SURCIIAROE FnR 1998 xxxxxxxxxXXX%%X%%X%%XXX%XX% XX%XXX%%XKXxXX%XX%%XXXX $ <br /> C PERMANENT CLOSURE (Removal or Authorized Closure•in-Place) TANK I.D. 5(A) <br /> 0 r.LOS(IRF FEE $78.00/11our (3 hours minimtm/TANK) M TANK(1) 3 K $234.00 w $ 702.00 <br /> U TEMPORARY CLOSURE (Plan Aevlaw S Inspectigns) TANK I.D. R(e) <br /> R <br /> E TEMPORARY CLOSURE FEE + 57$.00/hour (3 hours minimum/FACILITY) 5234.00 minimum S <br /> P INSTALLATION PLAN CHECK (Plan Review N Construction Inspection$) TANK LD. M(fi) <br /> t -- --- <br /> A <br /> R PLAN CHECK FEE + 578.00/hour (8 hours m(nimtml/FACILITY) . 5624.00 minirmia <br /> R REPAIR FEE (Workp(an Review R Construction Inspection) TANK I.D. #(a) <br /> P TANK LINING REPAIR FEE + 578.00/h6ur 0 hours minimus/TANK) $ TANK(!) x 5234.00 = — S <br /> A -------'—_.-- ------'-"--- ------- - _ <br /> I TANK RETROFIT REPAIR FEE a $78.00/hour (3 hours min./FACILITY) ■ $234.00 minimum 5 <br /> PIPING REPAIR PEE + $78.00/hour 0 hours minimre/FACILITY) $234.00 minimtrn 5 <br /> M TRANSFER FEE + $20.00 UNAUTHORIZED RELEASE EVALUATION ■ $78.00/hr S <br /> C CONSULTATION FEE = $78.00/hr SAMPLING INSPECTION FEE + $78.00/hr <br /> TOTAL DUE 5702.00 <br /> FOR OFFICE USE ONLY <br /> nl"'tl""9":11Lnirnmi I in pl, p .i r n ,;. ,, ; ,r ,n m!u! nni i n• � :;;;,;;.;;;;;;;.,, ;:.cm::vrr�:r -",; <br /> gg „ SNI �Jl IES mF? L6m C6m6 q�Iry�xPpN;�.,r:,;rnNh�C!�3!,Al�ll!ilAni46ii„i nannTdT•�n:��;I!.1���_....�(,.'I!NI;N�!F��;9114-�..;�NIEA'�H;”IN�'�N�BIf9�'�NINNNIINIII!I:MiNNI"I!If9YwYf;N1!NllilillNii 1T <br /> fl TWlEPT a COMPUTER 5 LOC CODE 01ST COOS AMOUNT RECEIVED LHECK ENCASH RECEIVED 8Y GATE RECEIVED <br /> ��I�I�Ip7��!I;'�i1111�IjIII�N�.. 10111 i� �� l,ji�r �iiiii inillltillin7ivmm n�uii li illkllllr lli,� llll� I IT'_ I�h� !yll l:!E!f ll�llllll�jjl fill [�'�Ij� 111 jl�NljM^".. <br />