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^^ •�Wu Lw■IT PUBLIC HEAR SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAMSHEET <br /> rAPPLICANT/OILLING <br /> ITY SITE NATE <br /> FACil MAIN:c Hy�L CONTACT�u�iG-d/oITY ADDRESS3oR/� i1TE PE�ijr� ST1TE 21P CODE / of TANKSANT/$ILLING MANEat tits <br /> APPLICANT CONTACT NAMEri�pG ADDRESS3/ (,� YG � APPLICANT PHONE / NITH AREA11UDgStO STATE 2IP CODE TYPE of APPLIGTION <br /> A 953S/ cLosuRE, INSTALLATION, etc. laeovit- <br /> A <br /> C TOTAL <br /> T ANNUAL FACILITY FEE (Prior to Jewry 1, 1991) • $100,00 1986 1987 1988 1989 1990 <br /> I <br /> V $ <br /> ETANK FEE S50-DO/TANK (prior to Jewry 1,1991) <br /> $170/TANK (otter January 1, 1991) -- <br /> F S Tark, • 1966 1987 1988 <br /> A (Mi tlply by fee for 1989 1990 1991 1992 1993 1994 1995 1996 -- <br /> C each Year applicable) <br /> 1 <br /> L STATE SURCHARGE • $56.00 each TANK $ <br /> I (Due every 5 years) See Callfornla N $ S Code, Section 25287 <br /> T t rank. x 156.00 1986 th _ <br /> Y (enter �notmt sed year) row 7990 1991 through 1996 <br /> S <br /> PERMANENT CLOSURE (Removal or Authorized c(aure•In•Ptsce) TANK I.D. t(a) <br /> c _ <br /> L CLOSURE FEE . fS3.00 per hour (3 houn minlalw PM' TANK) P TANK($) _. <br /> O (_ K $159.00 <br /> s <br /> U TEJ(PORARY CLOSURE (A am-time permit, for <br /> R ravlew/INwpaetlCrla) TANK I.D. I(a) <br /> E TEMPORARY CLOSURE FEE • S150.00 each TANK _ <br /> f TANK(.) K $150.00 • f <br /> P PLAN CHECK (Ina <br /> L tall. Plan Review L Cmatruction Inpeetlons) TANK I.D. fie) <br /> A <br /> N PLAN CHECK FEE • $53.00 per hour (a hours minimum per Facility) • !424.00 ■tnimn $ <br /> R REPAIR FEE (workplan review L CarstrWtion inspect, - <br /> • E TANK I.D. P(a) <br /> P TANK REPAIR FEE • $53.00 per hour (3 hours minlmuyTANK) <br /> 1 P TANK(.) K $159.00 . 9 <br /> R PIPING REPAIR FEE • "53.00 par hour (3 hour minimum per faculty a $159.00) <br /> t <br /> TTRANSFER FEE <br /> I a (20.00 LWOMMM t12ED RELEASE EVALUATION( • 153.00/hr <br /> S f <br /> C CCNSULTATION FEE • S53.00/hr SAMPLING INSPECTION FEE e <br /> fS3.00/hr $ <br /> OFFICE USE GILT TOTAL DUE $ /S-90r <br /> fw'w:wR,��r'R—iww`f <br /> ■ .root! . '� •'blil LiQ/CvYl �ay� <br /> y KCS <br /> ��w.Y1.�liw.�#M111.M11.1.aw.wMlliF�•M�-•• <br /> R <br /> 4•ramaamamarmearrarrar a.wiiiriwwiiiw'Mi�w-rnr+w.w`iw.w.iw'wiwC•... <br /> itlmwwalma°/aeww�#wAe�wmlatw ••t�::,T:�::•»T::•;::r::;:)::,::.�:T:z-- <br /> EM 23 032 /REV 4JHJ911 It °emrswrwrAmtrrrrasmww,tatrrarwA"N�Fs,.'""asw�m�ie,;;, <br /> Paoli <br />