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• <br />4 <br />SAN JOAGUIIfTY PUBLIC HEALTH SERVICES - EMVIRONIENTALTH DIYSION <br />UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEE <br />S <br />FACILITY SITE NAME <br />FACILITY CONTACT NAME' <br />I <br />The Port of Stockton <br />Tim Loveland <br />T <br />E <br />FACILITY ADDRESS <br />2201 W. Washington St. <br />517E PHONE N with AREA CODE <br />(209)946-0246 <br />R <br />CITYStockton, <br />l�TE {�E atoSITENKS 2 <br />A <br />PAPPLICANT <br />P <br />APPLICANT/BILLING NAME <br />CONTACT NAME <br />L <br />The Port of Stockton <br />Roy Page <br />I <br />C <br />MAILING ADDRESS <br />P.0,Box 2089, <br />APPLICANT PHONE M WITH AREA CODE <br />A <br />(209)946-0246 <br />N <br />T <br />CITY <br />STATE ZIP CODE TYPE of APPLICATION <br />Stockton, <br />CEI 95201-2059 (Ctosur*, Instsiiation, •tc.) Removal <br />TOTAL. <br />C PERMAHENT CLOSURE (Removet or Authorized Ctosure-In-Piece) I TANK 1.0. N(s) <br />L <br />O CLOSURE FEE ■ $78.00/hour (3 hours minimum/TANK) M TANK(s) X 5234.00 <br />9 <br />U TEMPORARY CLOSURE (Pion Review 9 Inspections) TANK I.D. M(s) <br />R <br />F TEMPORARY CLOSURE FEE ■ $78.00/hour (3 hours minimum/FACILITY) $234.00 minimum <br />P INSTALLATION PLAN CHECK (Pion Review A Construction Inspections) TANK J.D. $(s) <br />L <br />A. <br />N PLAN CHECK FEE ■ S78.00/hour (8 hours minim.m/FACILITY) ■ $624.00 minimum <br />R REPAIR FEE (4lorkp(on Review Ii Construction Inspections) TANK I.D. M(a) <br />E <br />P TANK LINING REPAIR FEE ■ $78.00/hour (3 hours minimum/TANK) Y TANK(s) X $234.00 ■ <br />A ■ $234.00 minimum <br />I TANK RETROFIT REPAIR FEE a S78.00/hour (3 hour: Irvin./FACILITT) <br />R <br />PlPikp REPAIR FEE 578.00/hour (3 hours minimum/FACILITY) $234.00 minimum <br />N TRANSFER FEE ■ 120.00 UNAUTHORIZED RELEASE EVALUATION = $78.00/hr <br />C CONSULTATION FEE ■ $78.00/hr SAMPLING INSPECTION FEE _ $78.00/hr <br />OFFICE USE ONLY <br />MMMSWEEPS IfON <br />IGH <br />R / L0C CODE Df ST COOE AMOUNT RECEIVED I CHECK /CASH <br />S <br />EH 23 032 (RIVI$ED 9-27-97) <br />TOTAL DUE <br />ECEIVED BY <br />S-fuo. <br />S <br />it <br />DATE RECEIVED <br />