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/ <br /> SAN JOAW IN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL " T" DIVSIOI - <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE UONK3114T -�4 . <br /> ILITT SIT! NAM! FACILITY Wlth <br /> F30(L <br /> "FACILITY ADDRESS IT! PHONE37_ ACITY STA ! LIP CODE <br /> A �/ a at SITE <br /> A C <br /> PAPPLICANT/21LLINO NAME APPLICANT CONTACT NAME <br /> L b— o S�� ST'A•. Co , c M O S.S <br /> 1 <br /> C (LING ADORES! p APPLICANT PHONE 0 YITTNNTAREA CODE <br /> T CITY -1.. STATE ZIP CCD! TYPE of APPLICATION <br /> Oc—i�.Tpt� C!- � (Clowre, lnsullat ions, ate-)`��,�p�A(, <br /> TOTAL <br /> 1966 1987 1968 1989 1990 <br /> ANNUAL /AGILITY FEE (Prior to Tanury 1, 1991) • !100.00 <br /> A f <br /> C <br /> T FACILITY PENAL IT FEES ASSESSED (It AppllosblU %TOO %%%NI f <br /> I - <br /> v TANK FEE 150.00/TANK (Prior to January 1,1991) $170/TANK (After January 1, 1991) <br /> E <br /> a Tanks • 1966 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> F (multiply %byby fN for <br /> A each year sppllcsb(U f <br /> C <br /> I TANK PENALTY FEES ASSESSED X)m K%X)( i <br /> L <br /> I STATE SURCHARGE • 156.00 each TANK (Due wary S years) Sea California N L S Coda, Section 25287 <br /> I <br /> T R Tanks R 156.00 1986 throuo 1990 1991 through 1996 <br /> (Enter a t and year) <br /> s <br /> i <br /> C PERMANENT CLOSURE (RenovaI or Authorized Cl osure-In-Place) TANK LD. !(a) <br /> 11� <br /> L <br /> O CLOSl1R! FEE • 178.00/hour (3 hours minlnJa/TAMK) 1 TANK(*)—l— % 1234.00 t �7 � <br /> S (� <br /> U TEMPORARY CLO"E (Plan Review A Inspections) TANK I.D. /(a) <br /> R - <br /> E TEMPORARY CLOSURE FEE • 178.00/hour 0 hours olln(auNFAC(1.(TT) a 1234.00 minlaan i <br /> P INSTALLATION PLAN CHECK (Plan Review A Construction Inspections) TANK 1.0. 1(a) <br /> L <br /> A <br /> N PLAN CHECK FEE • 278.00/hour IS hours minlmWfACILITY) • %621.00 minimus t <br /> R REPAIR FE! (Workplan Review t CmatnAetlon Inspection) TANK I.D. ka) <br /> E <br /> P TANK LINING REPAIR FEE a 578.00/hour (3 hours minimameiTANK) 2 TANK(s) _ % $234.00 • s <br /> A <br /> 1 TANK RETROFIT REPAIR FEE • S78.00/hour (3 hours min./FACILITY) • 2234.00 minfem 1 <br /> R <br /> PIPING REPAIR Fee a $78.00/hour (31 hours minlaaaWFACILITT) a $234.00 mini" t <br /> N TRANSFER FEE a 920.00 IRUUTHCRIZEO RELEASE EVALUATION • 178.00/hr $ j - <br /> I <br /> S <br /> C CONSUITATiON fEE a 278.00/hr SAMPLING INSPECTION FEE • $78.00/hr f <br /> TOTAL DILE' t j <br /> FOR OFFICE USE ONLY <br /> —'_"�w�w—BC�JGTi Gi�a3mCw�w�rASm/ew'��CC��m•TAaC�N�w�3N�w�NBt��ww',Cta�w�w�C�CAw�NT�wC.�CiwMmG��CA.1�nawn•, �3�3w' C_4 <br /> wJR1aAUe�w • DI51 l:Wt AINAINi NkLh 1YkG GMER I/6AAN NtLC IYtMI YT <br /> :."i.:rFiw`3 ami waw ��4' w:e G'S�ii�GiS•7CiT•r.T•.�Cw'w�•i�� Car CCri• .i.1"�r�i�T�T�3wS� <br /> wwwas�rarwrwwwmrAwrwwwwwwrwrmwwmwwAwwNrrawwwswwwmwwNwwAwwww�wwswrmwwNwww <br /> EN 23 032 (REVISED 3-1-931 Pse1 11 <br />