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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENT ' EALTH DIVISION <br />dbERGROUNO STORAGE TANK PROGRAM - FEE WORKSHM <br />S <br />FACILITY SITE NAME <br />FACILITY CONTACT NAME I <br />.I <br />1988 <br />1989 <br />T <br />TANK LINING REPAIR FEE = 878.00/hour (3 hours minimum/TANK) <br /># TANK(s) X 8234.00 = <br />E <br />FACILITY ADDRESS <br />SITE PHONE # with AREA CODE <br />8 <br />S <br />I <br />TANK RETROFIT REPAIR FEE = 578.00/hour (3 hours min./FACILITY) = 8234.00 minimum <br />CITY <br />STATE <br />ZIP CODE <br /># of TANKS <br />A <br />xxxx <br />xxxx <br />8 xxxxxxxxxxxxx <br />at SITE <br />P <br />xxxx <br />xxxx <br />xxxx <br />P <br />APPLICANT/BILLING NAME <br />APPLICANT CONTACT NAME <br />L <br />I <br />C <br />MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />A <br />E <br />N <br />T <br />CITY <br />STATE <br />ZIP CODE <br />TYPE of APPLICATION <br />1989 <br />1990 <br />1991 <br />1992 <br />(Closure, Installation, etc.) <br />TnTA <br />C <br />PERMANENT <br />CLOSURE <br />(Removal or Authorized Closure -in -Place) <br />1988 <br />1989 <br />1990 <br />TANK LINING REPAIR FEE = 878.00/hour (3 hours minimum/TANK) <br /># TANK(s) X 8234.00 = <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = 8100.00Axxxx <br />0 <br />CLOSURE FEE = 878.00/hour (3 hours minimum/TANK) <br /># TANK(s) x $234.00 = 8 <br />S <br />I <br />TANK RETROFIT REPAIR FEE = 578.00/hour (3 hours min./FACILITY) = 8234.00 minimum <br />C <br />R <br />M19861987 <br />TEMPORARY <br />xxxx <br />xxxx <br />xxxx <br />8 xxxxxxxxxxxxx <br />T <br />FACILITY PENALTY FEES ASSESSED (If Applicable) <br />xxxx <br />xxxx <br />xxxx <br />XXXX <br />S xxxxxxxxxxxxx <br />I <br />V <br />TANK FEE = 850.00/TANK (Prior to January 1,1991) <br />8170/TANK (After January 1, 1991) <br />E <br /># Tanks <br />1986 <br />1987 <br />1988 <br />1989 <br />1990 <br />1991 <br />1992 <br />1993 <br />F <br />(multiply # by fee for <br />XXXX <br />XXXX <br />xxxx <br />xxxx <br />XXkx <br />M <br />8 <br />A <br />each year applicable) <br />C <br />I <br />TANK PENALTY FEES ASSESSED <br />XXXX <br />xxxx <br />xxxx <br />xxxx <br />xxxx <br />L <br />$ <br />I <br />STATE SURCHARGE = 856.00 each TANK (Due every 5 years) See California H 8 S Code, Section 25287 <br />T <br />Y <br /># Tanks x 856.00 <br />1988 through 1990 <br />1991 through 1996 <br />(Enter amount and year) <br />8 <br />C <br />PERMANENT <br />CLOSURE <br />(Removal or Authorized Closure -in -Place) <br />TANK I.D. #(s) <br />L <br />A <br />TANK LINING REPAIR FEE = 878.00/hour (3 hours minimum/TANK) <br /># TANK(s) X 8234.00 = <br />N <br />0 <br />CLOSURE FEE = 878.00/hour (3 hours minimum/TANK) <br /># TANK(s) x $234.00 = 8 <br />S <br />I <br />TANK RETROFIT REPAIR FEE = 578.00/hour (3 hours min./FACILITY) = 8234.00 minimum <br />g <br />R <br />U <br />TEMPORARY <br />CLOSURE <br />(Plan Review & Inspections) <br />TANK I.D. #(s) <br />R <br />E <br />TEMPORARY <br />CLOSURE <br />FEE = $78.00/hour (3 hours minimum/FACILITY) <br />8234.00 minimum 8 <br />P <br />INSTALLATION PLAN CHECK (Plan Review & Construction Inspections) <br />TANK I.D. #(s) <br />L <br />A <br />TANK LINING REPAIR FEE = 878.00/hour (3 hours minimum/TANK) <br /># TANK(s) X 8234.00 = <br />N <br />PLAN CHECK FEE = 878.00/hour (8 hours minimum/FACILITY) = 8624.00 minimum <br />8 <br />R <br />REPAIR FEE (Workplan Review & Construction Inspections) <br />TANK I.D. #(s) <br />E <br />P <br />TANK LINING REPAIR FEE = 878.00/hour (3 hours minimum/TANK) <br /># TANK(s) X 8234.00 = <br />8 <br />A <br />I <br />TANK RETROFIT REPAIR FEE = 578.00/hour (3 hours min./FACILITY) = 8234.00 minimum <br />g <br />R <br />PIPING REPAIR FEE = 878.00/hour (3 hours minimum/FACILITY) = 8234.00 minimum <br />8 <br />NI TRANSFER FEE = 820.00 <br />1, <br />CONSULTATION FEE = 578.00/hr <br />ONLY <br />COMPUTER # <br />UNAUTHORIZED RELEASE EVALUATION = $78.00/hr <br />SAMPLING INSPECTION FEE = 878.00/hr <br />CODE I AMOUNT RECEIVED <br />8 <br />92 <br />S <br />8 <br />TOTgL DUE 8 <br />RECEIVED BY <br />