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w SAN JOAQUIN CCUNTY PUBLIC HEALTH SERVICE <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE wORKSHEEf <br /> FACILITY CONTACT NAME <br /> FACILITY SITE NAME Dave Chavier <br /> F Babka Distributing Co. <br /> A <br /> C SITE PHONE # with AREA CODE <br /> I FACILITY ADDRESS None <br /> L 1245 W. Weber Ave. <br /> I STATE ZIP CODE # of TANKS <br /> T CITY (;8 at SITE 2 <br /> Y Stockton, <br /> �Q g APPLICANT CONTACT NAME <br /> A <br /> kiank NoT IStocktton <br /> Dave Chavier <br /> P <br /> L APPLICANT PHONE # WITH AREA CODE <br /> I MAILING ADDRESS Po. Bx. 1110 <br /> C <br /> A STATE ZIP CODE TYPE of APPLICATION <br /> N CITY Ca 95201 CLOSURE, INSTALLATION, etc. Removal <br /> r Stockton <br /> TOTAL <br /> A 1986 1987 1988 1989 1990 <br /> C 1991) = $100.00 <br /> T ANNUAL FACILITY FEE (Prior to January 1, f <br /> I <br /> V1991) $170/TANK (after January 1, 1991) <br /> E TANK FEE _ $50.00/TANK (prior to January 1, <br /> F 0 Tanks = - 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> A (multiply -7 <br /> tee for f <br /> C each year applicable) <br /> I <br /> L STATE SURCHARGE _ 956.00 each TANK (Due every 5 years) See California H 6 f Code, Section 2528 <br /> 11986 through 1990 1991 through 1996 <br /> T # Tanksx $56.00 <br /> Y (enter amount and year) $ <br /> PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) TANK I.D. #(s) <br /> G $318.00 <br /> um <br /> L CLOSURE FEE _ $53.00 per hour (3 hours minimper TANK) # TANK(s)? % $159.00 <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for review/inspections) TANK I.D. (s <br /> R If TANK(s) _ K 5150.00 n f <br /> E TEMPORARY CLOSURE FEE _ $150.00 each TANK <br /> P PLAN CHECK (Install. Plan Review 6 Construction Inspections) TANK I.D. #(a) <br /> L <br /> A $ <br /> N PLAN CHECK FEE - $53.00 per hour (8 hours m(n(m.m per Facility) = (424.00 minimum <br /> R REPAIR FEE (workp(an review 6 construct!on Inspections) <br /> TANK I.D. #(S) <br /> E f <br /> P TANK REPAIR FEE = $53.00 per hour (3 hours minimum/TANK) # TANK(s) % 5159.00 = <br /> A <br /> I $ <br /> R PIPING REPAIR FEE _ $53.00 per hour (3 hour minimum per facility - $159.00) <br /> IM CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> FEE 553.00/hr FEE = f 53.00/hr <br /> FEE _ $53.00/hr <br /> TOTAL DUE $318.00 <br /> OFFICE USE ONLY ................. ... <br /> ............................. ........................... ........f.�.....................w.. ...w.....w..s..rr...........1............................................................. <br /> .......�.................._........ CN�/t.Fsll NtL'tl VtU ar wwsw <br /> .... . ................................... .......... <br /> ........ .. <br /> r .................... ........................ ....... <br /> IM NM MMM I,M.WMI.YM MYII NM.YM IMM,MM MM,I MM MMM MM NNN Y"MM MMM MM MMM MMfMM,MMMM MMM MMMMM MM MM MMIM,M MM MM WM MNIMM�MM MNIMM,IM YM„MM MNM MM IMY,IM MM <br /> MMlerlraY MM Agri 1111 rlatflM rrM.M A1Y AIMY:M Im!'a rAtM�rWiar ora rNulwWW(IMW Mfrla arl GYM rN/AWIp fIN W MWi�MrN MYr:MY MN MYa UY MrN Wt WIW Mr IeW IrrIIr MMrfIW fe6 <br /> Pace <br /> EH Z3 032 (REV 1/10/91) It <br /> 1 <br />