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SA OARUIN LOCAL HEALTH RICT <br /> UND <br /> DERGROUND STORAGE TANK PROGRAM - FEE NORKS T <br /> FIFACILITY/SITE NAME fh FACILITY CONTACT NAME <br /> [ San Joaquin Lunber Co. Curly Rowley <br /> I -----------._..-------------- ----- <br /> L STREET ADDRESS SITE PHONE t WITH ANWA eee9 <br /> 235 Scotts Ave% Stockton CA 95302 _ (209)465-5651 <br /> Y CITY STATE IIP CODE 1 of Tanks <br /> Stockton CA 95323 at Site two <br /> A APPLICANUBILLfNG NAME <br /> P APPLICANT CONTACT NAME <br /> P ; Weldon, Weldon, & Cowell Raymond Weldon <br /> L __..._... --....-_.--- -- -- --- ..__-...._..._..------- -------- <br /> I MAID NG ADDRESS APPLICANT PHONE 1 <br /> WITH AREAC11-09 <br /> P.O. Box 69 (209)874-3722 <br /> N CITY -- <br /> T STAT 5323DE TYPE of APPLICATION <br /> Hlclanan CA 95323 aoauee, rxneLLArrox, trc. CIASUw: <br /> FACILITY FEE = $100.00 each SITE ADDRESS per YEAR TOTAL <br /> p _ -.-- _ <br /> L <br /> 1986 1987—— 1988 1989 <br /> T — <br /> 1 <br /> E TANK FEE 150.00 each TANK - - - <br /> _....__.._..._........... ........................ - ..._ _._.........._........_... .. - -.--- _....._._..... - -_..... -..........-......-- ..----- - ---..._...... <br /> F 1 Tanks _ .r 150.00 1986 1981 1988 1989 <br /> A (oultipf 1 by fee for _-----•—.. ..---- _ -- —_, <br /> C each year. applicable) <br /> L STATE SURCHARGE = $56.00 each TANK (see CA HEALTH $ SAFETY CODE Sec 25287 for applicability) <br /> - - - -' - - <br /> 1 1 tanks r $56.00 �— '--" <br /> Y (enter mount and year) 1986 1981 1988 1989 <br /> C. PERMANENT CLOSUREQkPoovalljor Closure-in-plate) -- — — - <br /> O CLOSURE FEE - 190.00 each TANK 1 Tanks 2 x 190.00t $180.00 <br /> S ..--- - ------ -- — - --._ <br /> ---- — <br /> R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br /> TEMPORARY CLOSURE FEE _ $80.00 each TANK If Tanks x $80.00 f <br /> - ' - ------- --- ----'- --.: <br /> --- <br /> P PLAN CHECK (Installation or Repair) <br /> A - <br /> I.fl PLAN CHECK FEE-=_ 130.00 each SUBMISSION/RESUBMISSION $ <br /> kEPAIR <br /> .----.---........._........-------------..............-- ------- .--.,---'--- - -- -- --- <br /> F. TANY. REPAIR FEE = 1110.00 each TANK 1 Tanks x $110.00 $ <br /> E ... .. - -_...._.......-.-_..... - -._.._-- ._._...-...._....._.._...... - <br /> NG REPAIR,/CLOSURE/REMOVAL (Fees are per hour, minimum one hour to be paid on plan submittal) <br /> IR UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION INSPECTION SAMPLING INSPECTION <br /> (when applicable) (when applicable) (when applicable) <br /> FEE 130...00/h.r FEE 135.00/hr FEE 135.00/hri 1 <br /> TOTAL DUE <br /> OFFICE USE ONLY - <br /> n�N'9!^!�G!�G@!iiV11V'GGIAII1G!INII�9!�1�91�!GG9'19G99GIiGGGGRNGG BIGI�IGGGGVI!I;IidP19GAGpCf14GGfIkflGll:?�1GNGn!;ROrNMtlGuGGu{911!GBfOGHI"�INI1G!GV1GI�GIIGIG!PG�lli91@��I!IIkiNIIINkY!;ifufliGl'Gilh?pIIG1129GGIiGiIYGIGGIG!NGGIIGI� V�V!1�1101�G?31�99G�GPw <br /> WEEPS I COMP I LOC CODE DIST CODE AMOUNT DUE AMOUNT Rr,V0 CHEC 1/CASH RCVD BY DATE RECEIVED PERMIT 1 <br /> 1 I ''7i'�32'I'EV "�IIGI�GIp�!�Ir�lq.GiIGCIIIiGI�II6GGf;G!!IVAIIPIVIi198gIIV1iI;,IIIIIiGIIIGGGGIIPflGIIk'GiV'll9 i!�1VIIJiIGIIGI!GIIIIOGIiIiGil!I G1Gil!VGII�9GIIGIIIIGII!G6GIIIVI 1111 G 1101NIH 1i IIGI GIIIGIGIVIIGGII9PIlilGVG9GiNGGl 9f!llGB911WNPVG'dGI,T'lih <br />