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!;�IYW4iv <br /> J SAN JOAOUIN ")UNIT PUIILIC HEALI111 SERVICES - ENVIRONMENTAL HEALTH OIVSION I <br /> URDERCRUMn SICRAGE TANK PROGRAM - FEE UORKSHEET SO <br /> 1 FACILITY SIZE "ANE Gary Brandt FACILITY CONtACT "AHE Gary Brandt <br /> F. FACILITY ADDRESS 91TE PHONE / Nilh AREA CODE <br /> _ <br /> 311 .W. Locust St. N/A <br /> A C11Y Lodi, G,gTATE iIR,-f,ODE- if of TANKS .I <br /> P --- —_ H `17L4U <br /> r APPLICANT/811.11"0 NAME APPLICANT CONTACT NAME <br /> I ____ Gary Brandt Gary Brandt <br /> MAILING ADDRESS APPLICANT PHONE 0 WITH AREA CODE <br /> N —--- <br /> I CITY SLATE 21P CODE TYPE of APPLICArr ON <br /> Lodi, CA 95242 (Closure, InstnHltIon, etc.) Removal <br /> TOTAL <br /> 1906 1987 1988 1989 1990 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) = f100.00 <br /> A xxxx xxxx xxxx f <br /> C — <br /> i fAC1U tT FEHAITT FEES ASSESSED (If Ap(�l icabl e) XXXX xxxx xxxx f <br /> E TANK FEE = SSO.00/IANK (Prior to January 1,1991) 5170/TANK (After January 1, 1991) <br /> If T mks Mcxxxxxx <br /> 1987 1908 1989 1990 1991 1992 1993 1994 1995 1996 <br /> r Imu�tiply A-6y`-fee for — <br /> C ench year nppl lanble) xXXI xxxx f <br /> I TANK PENALTY FEES ASSESSED xxxx Ixxxx I I ! <br /> 1 STATE SURCHARGE _ *56.00 each TANK (Due every S years) See Cnilfornle H A 9 Code, Section 25287 <br /> T S larks x 156.00 1986 through 1990 199) through 1996 I a paggg9 <br /> (Enter n nt and year) <br /> 7— <br /> t. <br /> C PERMANENT CLOSURE. (Removal or Authorlted Closure-in-Pince) TANK I.D. $(a) yA1 L1. 0 A 3 411 <br /> L <br /> 5 CLOSURE FEE _ t78.00/hour (3 hours minimum/LANK) R tANK(s)_L X 1234.00 = f234.0Qx <br /> R TEMPORARY CLOSURE (Plan Review R Inspections) TANK I.D. R(a). t(�,Qp 7S y� <br /> E TEMPORARY CLOSURE FEE : 1178.00/hour (3 hours minimum/FACILITY) *234.00 minimum ! <br /> I <br /> r INSTALLATION PLAN CHECK (Plan Review A Construction Inspections) TANK I.D. /(s) <br /> t <br /> A <br /> M PLAN P,Hm rF.E _ !70.00/hnur (0 hours mfninxm/rACILITY) _ *624.00 minimum ! <br /> E REPAIR FEE (Workplan Review 6 Construction Inspectlons) TANK I.D. R(a) <br /> P TANK LINING REPAIR FEE _ $78.00/hour (3 hours minimum/TANK) N TANK(s) X *234.00 + f <br /> I TANK RETROFIT REPAIR FEE _ 278.00/hour (3 hours min./FACILITY) _ $234.00 minimum f <br /> PIPING REPAIR FEE = 178.00/hour 0 hours minimum/rACILITY) _ 11234.00 minima f <br /> / N TRANSFER ttt _ *20.00 UNAUTHORIZED RELEASE EVALUATION = 1178.00/hr f <br /> 1 <br />- 9 — <br /> C CONSULTATION FEE = S78.00/hr SANPL INO INSPECTION FEE = 178.00/hr f <br /> TOTAL lHUE *234.00 <br /> �i!�IIIIII4mImi�hlilglilll!III11�9"IIn7Pinpnlll� �9'�I�I�III�n�llllllnl�l�?I�II�ICI!IIIII�IIIIIII�IIIIIIIII�!!Ilfill�ll.�lllllllllllllll!ILII!II��!mill!�III!ill��llllll�llnlnll/iP I �i � I i <br /> .III i�lm�l�l. Iill�ll�ll��ll.nlNlm�l�lll�.n�l��ll�I�� �INI�III�MMINgIII�NRIII� <br /> EN 23 032 (REVISED 4-29-94) Page 11 <br /> a <br />