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t t �uti.nt. ncnt-. " n ar• " �.• <br /> ERGROUND STORAGE TANK PROGRAM - FEE WORKSHE <br /> F FACILITY/SITE NAME FACILITY COIN NAME <br /> C Larry W. Aksland, Inc. Larry W. Aksland <br /> I SITE PHONE II (with Area Cade) <br /> L STREET ADDRESS <br /> 8282 Veritas Avenue 209 3- <br /> T <br /> �::�STATE E95336P <br /> # of TANK'S <br /> Y CITY at Site l <br /> Manteca <br /> A APPLICANTIBILLING NAME CANT CONTACT NAME <br /> P <br /> P same <br /> L APPLICANT PHONE II (with Area Cade) <br /> I NAILING ADDRESS <br /> C <br /> A STATE ZIP CODE =TYPEofLICATION Tank Removal <br /> N CITY nstallation, etc.) <br /> T <br /> FACILITY FEE = 5100.00 each SITE ADDRESS per YEAR TOTAL <br /> A 1906 1981 1989 1989 <br /> C <br /> T $ <br /> I <br /> V <br /> E TANK FEE _ $50.00 each TANK <br /> F I Tanks r 150.00 1986 1901 1988 1989 <br /> A (multipIi-1-by fee for $ <br /> C each year applicable) <br /> 1 <br /> L STATE SURCHARGE r 156.04 each TANK (see CA HEALTH It SAFETY CODE Sec 25281 for applicability) <br /> 1 <br /> T 11 Tanks z 156.04 1906 1901 1988 1999 <br /> Y (enter an6u6t and year) $ <br /> C PERMANENT CLOSURE (Removal or Closure-in-place) <br /> L 1 Tanks 11 x $90.00 $ 90.00 <br /> 0 CLOSURE FEE = $90.00 each TANK <br /> --- <br /> S <br /> U <br /> R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br /> E I Tanks z 184.09 1 <br /> TEMPORARY CLOSURE FEE _ $80.00 each TANK _-__ <br /> P PLAN CHECK (Installation or Repair) <br /> L <br /> A 1 <br /> N PLAN CHECK FEE _ $30.00 each SUBNISSIUN/RESUBMISSION <br /> REPAIR <br /> R # Tanks z 1110.04 1 <br /> E TANK REPAIR FEE = 1110.00 each TANK __ <br /> P <br /> A <br /> it PIPING REPAIRICLOSUREIREMOYAL (Fees are per hour, minimum one hour to be paid on plan submittal) <br /> RSAMPLING <br /> UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION <br /> (when applicable) INSPECTION INSPECTION <br /> FEE = 130,441hr FEE = 135.00/hr FEE = 135.00Ihr 1 <br /> TOTAL DUE 1 <br /> OFFICE USE Oifi1' <br /> FSPEEPS I COMP 1 LOC CODE DIST CODE AMOUNT DUE AMOUNT RCV CHECK #1 SH RCVD BY DATE RECEIVED PERMIT I <br />