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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES I <br /> ENVIRONMENTAL HEALTH DIVISION <br /> ERCRCUNO STORAGE TANK PROGRAM - FEE uORKSHO <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> f <br /> A City of Manteca Jim Podesta <br /> C <br /> I FACILITY ADDRESS SITE PHONE S with AREA CODE <br /> L 220 Oak Street 209-239-8458 <br /> 1 <br /> T CITY STATE ZIP CODE Y of TANKS <br /> Y Manteca CA 95336 at SITE 1 <br /> A APPLICANT/FILLING NAME APPLICANT CONTACT NAME <br /> P <br /> P Oil Equipment Service Keith A. Tallia <br /> L <br /> 1 MAILING ADDRESS APPLICANT PHONE $ WITH AREA COOS <br /> C P.O. box 950 209-754-1808 <br /> A <br /> N CITY STATE ZIP CODE Sna Andreas TYPE of APPLICATION <br /> T CA 95249 CLOSURE, INSTALLATION, etc. Removal <br /> A TOTAL <br /> C 1986 1987 1 1988 1989 1990 <br /> t ANNUAL FACILITY FEE (Prior to January 1, 1991) a $100.00 <br /> I $ <br /> V <br /> E TANK FEE a $50.00/TANK (prior to January 1,1991) 5170/TANK (after January 1, 1991) <br /> F z Tank1966 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> A (aultiply I by fn for <br /> C each year appllcaole) S <br /> 1 <br /> L STATE SURCHARGE a $56.00 each TANK (Out every 5 years) See California N L S Code, Saction 25287 <br /> 1, <br /> Y Tanks K $56.00 1986 through 1990 1991 through 1996 <br /> Y (enter amount and year) <br /> z <br /> PERMANENT CLOSURE (Removal or Authorized Closure-in-Pt act) TANK I.D. 9(s) ?`1<5 I <br /> C <br /> L CLOSURE FEE a $53.00 per hour (3 hours minimum per TANK) 9 TANK(s) ( X $159.00 • f ' «) <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for rwiw/Inspectlaro) TANK I.D. N(a) <br /> R <br /> E TEMPORARY CLOSURE FEE a $150.00 each TANK Y TANK(s) X $150.00 a S <br /> P PUN CHECK (Install. Plan Review i Construction Inspections) TANK I.D. N(a) <br /> L <br /> A <br /> N PLAN CHECK FEE - $53.00 per hour (8 hours minim per Facility) • $424.00 mini mast z <br /> R REPAIR FEE (workplan review i construction Inspections) TANK I.D. Y(a) <br /> E <br /> P TANK REPAIR FEE a $53.00 per hour 0 tours minimu WTANK) Y TANK(s) _ X $159.00 a $ <br /> A <br /> I <br /> R PIPING REPAIR FEE a $53.00 per hour (3 hour minim per facility • $159.00) $ <br /> M CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> I <br /> S <br /> C FEE • 553.00/hr FEE a $53.00/hr FEE • $ 53.00/hr <br /> TOTAL DUE $ S S• <br /> OFFICE USE ONLY <br /> "sL' els 9 acNTr T Co�"mc� -'YsYc" "AicxblY�c�i'" E�TL'Aid"` "k�'c f b"aP7""'bATF"R '9V o•••"°• <br /> civ Lr <br /> un CA <br /> sarmrrararamas AwrarArraware+asAenwsrr.sw.rwrwr rseNemmeareatafamarNrrasarsraraaUsasr.mamnra>.rs <br />