Laserfiche WebLink
SAN JOAWIN CCU"" PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br /> FACILITY CONTACT NAME <br /> FACILITY SITE NAME Lonnie. Hanson <br /> F Connnercial Transfer, Inc. <br /> 0. SITE PHONE M with AREA CODE (20 83-0233 <br /> 1 FACILITY ADDRESS 16 '1 Louise <br /> Ave. <br /> ISTATE 21P CODE R of TANKS <br /> ( it SITE <br /> I CITY <br /> Y Lathro AppLiC lNi CONTACT NAME <br /> A APPLICANT/BILLING NAME Lonnie flallSOr1 <br /> P commercial Transfer, Inc. <br /> APPLICANT PHONE R WITH AREA CODE <br /> L <br /> ( NAILING ADDRESS P 0 I3X. 208 <br /> C STATE i1P CODE TYPE of APPLICATION <br /> A r CLOSURE, INSTALLATION, etc. <br /> N CITY <br /> T La t lro � TOTAL <br /> 19(16 1987 1988 1989 1990 <br /> A S <br /> C <br /> I ANNUAL FACILITY FEE (Prior to January 1, 1991) . 5100.00 <br /> I5170/TANK (after January 11 1991) <br /> V <br /> E TANK FEE 550-00/TANK (prior to Jeruary 1,1991) <br /> 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 199 <br /> F R Jenks • ! <br /> A (multiply fee for <br /> C each year eppllcebl e) <br /> L STATE SURCHARGE • $56.00 each TANK (Oue every 5 years) See California H199; �odooughe 1996n 2528 <br /> I <br /> i M TanksK 556.00 <br /> 1986 through 1990 1 <br /> Y (enter amount end year) <br /> TANK I.D. #(a) .00 1 <br /> PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) ! TANK(s)I X 116V.�If �' <br /> C <br /> L CLOSURE FEE - 253.00 per hour (3 hours minimum per TANK <br /> 0 TANK I.D. #(a) <br /> 5 permit, for review/Irv+ tion) S <br /> PK <br /> U TEMPORARY CLOSURE (A one-tlnK pe . N TANK(s) �_ X 5150.00 • <br /> E TEMPORARY CLOSURE FEE ' S150.00 each TANK <br /> TANK I.D. l(s) <br /> P PLAN CHECK (Install. Plan Review t Construction Irvspectiorn) 1 <br /> L1424.00 minimsa <br /> A r (8 hours minim" per Facility) <br /> N PLAN CHECK FEE - 553.00 per hou ' <br /> TANK I.D. 1(s) <br /> R REPAIR FEE (workplan review 1 construction inspections) X $159.00 • S <br /> / TANK(s) _� <br /> E <br /> TANK REPAIR FEE • $53.00 per hour (3 hours ml nlaKzn/fANK) 5 <br /> A <br /> = 153.00 per hour (3 hour minimum per facility ' 1159.00) <br /> R PIPING REPAIR FEE 5 <br /> UNAUTHORIZED RELEASE EVALUATION ' 553.00/hr <br /> M TRANSFER FEE • 120.00 -- . <br /> I 1 �_ <br /> TION FEE • 153.0 <br /> SAMPLING INSPEC0/hr <br /> C CONSULTATION FEE • 153.00/hr TOTAL DUE <br /> 4fi�YSfnmSV O tt ' `'k' rrmri m° '`� RRill00wai; mTIM <br /> 4tl - aww <br /> �i� ,wwaa iwmmxniinminmiu�wwma <br /> ,®w,mmwauwauwumnnsriwoFmnwwawnirnmwwouuwuummuoww <br /> oanneum;reamnmiwun <br /> Page 1�^� I� O i <br /> EH 23 032 (Revised 4/8/91) l <br />