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-JCAOUIN COUNTY <br /> f <br /> FACILITY <br /> SITE NAME UNOERCRCUND "NINON <br /> SrORq'RONM�N�aN�EAL iN B"CpE�V':(Sf SERVICES <br /> K PRCCJ2AN ' CN • <br /> C i\ 1'` FEE btX2KSNEET <br /> ! FACILITY G an 1 l ! <br /> 1 ADDRESS �" $� FACILITY NNTACT 'NAME <br /> I zzcn c �oe-6 <br /> YCITY <br /> SITE PHONEI with AREA CLDE <br /> C E Cc Z <br /> A APPLICAIT/BILLING NAME STATE 21PCODE "Z - <br /> i i I (S 5 S 3.3 # SA TANKS <br /> KS <br /> I MAILING 1' 4✓� APPLICaNi CONTACT NA,yE <br /> ADOR SS �' <br /> 1G19/ Crr�A�e-i <br /> H es <br /> .v crit APPLIDAHr <br /> / PHONE <br /> T # WITH AREA CODE <br /> � l_'i/ 7YrA STATE Zip CODE�E <br /> TYPE Of a <br /> A aSURE, PPLICA7f0y 6 Z <br /> INSTALLATION, etc. <br /> C <br /> T ANNUAL FACILITY FEE ;Prior to ,arx,aIv 1, 1991) = S. <br /> CO,]C t987 TOTAL <br /> I <br /> y 1988 1989 1990 <br /> E TANK FEE = S50,S;'7ANK (pr!crJanuar Zoo 'z co ze>o S <br /> Y ,'991) 5170/TANK -cc) <br /> F # Tarts = I 1485 7987 1988 1989 (after January 1, 1991) <br /> A (eul;�piy #by fee for 1990 1991 1992 1993 1994 1995 1996 <br /> each year applicable) So SO 100 100 �(U 3y0 � _ <br /> L STATE Si.RCHARGE = 555.00 each TANK (Du _e every 5 years) See California H & S Code, Section 25287 S <br /> I <br /> T # Tarts l x 556.00 1986 through 1990 <br /> Y (enter amount and year) 1991 through 1996 <br /> Fj c�L7 S6 Ov <br /> 5 II 2 <br /> PERMANENT CLOSURE (Rwieval or Awthorized Closu\e-in-Place) TANK I.D. #(s) <br /> C <br /> L CLOSURE FEE - 553.00 per hour (3 hours minima pet TANK) # TANK(s) <br /> 0 % $159.00 = S <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for review/irspections) TANK I.D. #(s) <br /> R <br /> E TEMPORARY CLCSURE FEE = $150.00 each TANK # TANK(s) <br /> % 5150,00 = s <br /> PUH CHECK (Instal(. Plan Review & Construction Inspctions) TANK I.D. #(s) <br /> i <br /> PLAN CHECK FEE - $53.00 per hour (8 hours min inn pe- Fac Il ity) = $424.00 minima <br /> S <br /> REPAIR FEE (workplan review & construction inspection) TANK I.D. #(s) <br /> TANK REPAIR FEE = $53.00 per hour (3 hours minimm/TAK) # TANK(s) <br /> X 5159.00 = 5 <br /> PIPING REPAIR FEE - 553.00 per hour (3 hour minima pr facility = $159.00) <br /> 5 <br /> CONSULTATIONS UNAUTHORIZED RELEAiE EVALUATION SAMPLING INSPECTION <br /> FEE = 553.00/hr I FEE = 553.00/hr FEE = S 53.00/hr <br /> TOTAL DUE 52.00 <br /> y'FM1%OW1oee r C w�w,wt.+.p.�•.._..________._— — <br /> ������ A���� ♦ �V��� .. � 1 �.�_ ..�'y'^y�nuari�a���iffiftfisifiif� <br /> 3 <br /> \ � ' wulwf���fi 1161111 fYM�1M1fl�tf'f <br />