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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE UORKSHEET <br /> FACILITY CONTACT NAME <br /> FACILITY SITE NAME Lonnie Hanson <br /> F Commercial Transfer, Inc. <br /> A SITE PHONE N with AREA CODE (20 83-H233 <br /> T FACILITY ADDRESS 1651 Louise Ave. <br /> L STATE ZIP CODE N of TANKS <br /> et SITE <br /> Y CITY LathrO APPLICANT CONTACT NAME <br /> A APPLICANT/BILLING NAME Lonnie Hanson <br /> P Commercial Transfer, Inc. <br /> P APPLICANT PHONE N WITH AREA CODE <br /> L <br /> ( MAILING ADDRESS P.O. BX. 208 <br /> C STATE ZIP CODE TYPE of APPLICATION <br /> A CLOSURE, INSTALLATION, etc. <br /> N CITY Lat 1C0 TOTA <br /> 1986 1987 1988 1989 1990 <br /> A f <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) ' !100.00 <br /> 1991) <br /> E TANK FEE _ $50.00/TANK (prior to JanUA98 1,1991) <br /> 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> F N Tanks = 3 <br /> A (eultil) Ir6`fee for <br /> C each year applicable) <br /> 81 <br /> 1 <br /> L STATE SURCHARGE ' 156.00 each TANK (Due every 5 years) See California H1�; through 1996n 252 <br /> 11986 through 1990 $ <br /> T N Tanks__ K $56.00 <br /> T (enter amount end Yeer7 <br /> uthorized Closure-in-place) <br /> TANK T.D. <br /> Cminimum <br /> N(s) f <br /> PERMANENT CLOSURE (Removal or AN TANK(s) 1 % .�O <br /> fT89'vDII <br /> L CLOSURE FEE • $53.00 per hour (3 hours mi ntnzm per TANK) <br /> 0 tions) TANK I.D. N(s) <br /> S rmit, for review/ nspec f <br /> U TEMPORARY CLOSURE (A one-time pe N TANK(s) __ K (150.00 <br /> R <br /> h TANK <br /> E TEMPORARY CLOSURE FEE - $150.00 eac <br /> I.D. f(s) <br /> PPLAN CHECK (I nstalt. Plan Revl ew 6 Construction Inspecti17ons) TANK <br /> L f <br /> N PLAN CHECK FEE - 553.00 per hour (8 hours mtninzix per FecilitYl $424.00 mini <br /> TANK I.D. N(s) <br /> R REPAIR FEE (workplan review 6 construction Inspections) % 5159.00 $ <br /> N TANK(s) <br /> P TANK REPAIR FEE • $53.00 per hour (3 hours minimum/TANK) $ <br /> A r facility • 5159.00) <br /> R PIPING REPAIR FEE _ $53.00 per hour (3 hour mini per f <br /> M TRANSFER FEE $20.00 UNAUTHORIZED RELEASE EVALUATION $53.00/hr <br /> . S53.(S53.(11 3 <br /> C CONSULTATION FEE $53.00/hr <br /> SAMPLING INSPECTION FEE TOTAL DUE f <br /> 111191111. .Bananas; <br /> �F r�F 1ItFp11� -'+"aaW�-- 1{ <br /> �:�m�A! e`n�7h.m.7umVll�a. � ;m;r.:;. - �h11'tt1U{IT�"1!' sllS EC ��ACEY umm T <br /> �Y�i crbr' <br /> \ f1441 <br /> mmmvmem'..._ <br /> mj� •• _ _m^.: 'm,gy•—:'^u•• 'mlJWiliWlmmmlima <br /> R ippmil® ----1i16F191;16®im861®HaflmW;iPWuWB � <br /> mn!;;;mammnmaem W;®W <br /> Page 11 <br /> EH 23 032 (Revised 4/8/91) <br />