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�OAOUIN COUNTY PUBLIC HEALTH SERVICES • <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM FEE WORKSHEET <br /> FACILITY CONTACT NAME <br /> FACILITY SITE NAME <br /> F Todd Wetherell <br /> A O.J. Commercial Transport Inc. <br /> C SITE PHONE N with AREA CODE <br /> 1 FACILITY ADDRESS (209)239-1339 <br /> L 10250 Linne Rd. <br /> !Ca.595 <br /> N of TANKS <br /> Y CITY Tracy, 76 at SITE 1 <br /> APPLICANT CONTACT NAME <br /> A APPLICANT/BILLING NAME <br /> PO.J. Commercial Transport Inc. Todd Wetherell <br /> P I <br /> L APPLICANT PHONE N WITH AREA CODE <br /> I MAILING ADDRESS <br /> C P.O. Box 30056 <br /> A STATE ZIP CODE TYPE of APPLICATION - <br /> M CITY Stockton, Ca. 95213 CLOSURE, INSTALLATION, etc. Removal <br /> T <br /> TOTAL <br /> A 1986 1987 1988 1989 1990 <br /> C <br /> I ANNUAL FACILITY FEE (Prior to January I, 1991) • $100.00 f <br /> I <br /> V $170/TANK (after January 1, 1991) <br /> E YANK FEE • $50.00/TANK (prior to January 1,1991) <br /> T, N Tanks 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> A (multiply N by fee for f <br /> C each year applicable) <br /> I <br /> L STATE SURCHARGE • $56.00 each TANK (Due every 5 years) See California H $ S Code,- Section 25287 <br /> 11986 through 1990 1991 through 1996 <br /> 1 N TanksR $56.00 <br /> Y (enter amount and year) $ <br /> PERMANENT CLOSURE (Removal or Authorized Cl osure-In-Plece) TANK I.D. N(a) <br /> Cf 159.00 <br /> L CLOSURE FEE $57.00 per hour (3 hours minimum per LANK) N TANK(a)� % $159.00 <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A orx-tlme permit, for revleu/Inspect lons) TANK 1.0. N(a) <br /> RN TANK($) - % $150.00 • S <br /> E TEMPORARY CLOSURE FEE • $150.00 each TANK <br /> P PLAN CHECK (Irntall. Plan Review f Corotruction Inspections) TANK I.D. N(a) <br /> L <br /> A $ <br /> N PLAN CHECK FEE - $53.00 per hour (8 hours minimumper facility) _ $424.00 minimum <br /> R REPAIR FEE (workplan review 6 construction Inspections) TANK I.D. N(a) <br /> E <br /> P TANK REPAIR FEE • 253.00 per hour (3 hours minimm/TANK) N TANK(s) __ % 2159.00 <br /> A <br /> If <br /> R PIPING REPAIR FEE • $53.00 per hour (3 hour minimum per facility • %159.00) <br /> N CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> I fEE a f 53.00/hr <br /> C FEE • 253.00/hr FEE • $53.00/hr <br /> TOTAL DUE S r <br /> OFFICEUSE ONLY ...............................................................................................................................�..f.....ft.............................................................. <br /> •••.•.•.a•.... ........ .... <br /> �.•.•�••iyMa��yna irM�F.n�M,1 X�M,uM OM p�wa/w�MWMwW.r�,,,.«,w '^ IVCw ar YMY YY T.YM�,,.M,.w_i.Jw__R.1!R+lw�w FMM <br /> M MSNL[Y! IIMDHVUI[R If 101 UI 51 I:W[ �Il.YAVI'^^ <br /> �.........._.... .... .. .. . •.:..,...wwa+»ww.w' .» ww..ww.»w»www»w.w w.w MMMMMr <br /> IM Y•.w w•e.,,(M M.M w MFM,• w,M w <br /> MM/mrMMM MMMeM MMM MaMI MA1Me MIMM�MMMMMMMMMN Ma11M MaNrM MMMMMMM�MaMM MaMIM Mar Mmr <br /> EM 23 032 (REV 1/10/911 It Paoe I 1 <br />