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FHEMCO Job No. 91-0613 <br /> a SAN JOACIIIN COUNTY PUBLIC HEALTH SERVICES <br /> + ENVIRONMENTAL HEALTH DIVISION <br /> RGROUND STORAGE TANK PROGRAM - FEE WORKSHEER <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> F , <br /> ba P G & E Mike Harbic <br /> r <br /> I FACILITY ADDRESS SITE PHONE # with AREA CODE <br /> L 4040 West Lane <br /> I — <br /> T CITY STATE ZIP CODE # of TANKS f — <br /> Y Stockton CA 95205 at SITE 4 <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P <br /> P FHEMCO Bob J . Hill <br /> L <br /> I MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> C P.O. Box 88 <br /> A – <br /> N CITY TSTATE ZIP CODE TYPE of APPLICATION Closure & <br /> T Tula re A 93275 CLOSURE, INSTALLATIONN, etc. Installation <br /> TOTAL <br /> A <br /> C 1986 1987 1988 1989 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br /> I S <br /> V <br /> E TANK FEE = 550.00/TANK (prior to January 1,1991) 5170/TANK (after January 1, 1991) <br /> F # Tanks 2 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> A (multiply # by fee for — -_ i__ <br /> C each year appl i cable) 340 '340.00 <br /> I <br /> L STATE SURCHARGE = 556.00 each TANK (Due every 5 years) See California H & S Code, Section 25287 <br /> I <br /> T # Tanks 2 x 556.00 1986 through 1990 1991 through 1996 <br /> Y (enter amount and year) <br /> $112.00 12.On <br /> PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) TANK I.D. #(s) <br /> r <br /> C <br /> L CL�SURE FEE = $53.00 per hour (3 hours minimum per TANK) # TANK(s) A X $159.00 = <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for review/inspections) TANK I.D. #(s) <br /> R <br /> E F TEMPORARY CLOSURE FEE = $150.00 each TANK # TANK(s) X 5150,00 = S <br /> P PLAN CHECK (Install, Plan Review & Construction Inspections) TANK I.D. #(s) <br /> L <br /> A <br /> N PLAN CHECK FEE - $53,00 per hour (8 hours minimum per Facility) = 5424.00 minimum S 424.00 <br /> RREPAIR FEE (workplan review & construction inspections) TANK I.D. #(s) <br /> E <br /> P TANK REPAIR FEE = 553.00 per hour (3 hours minimun/TANK) # TANK(s) X $159.00 = $ <br /> A <br /> I <br /> R PIPING REPAIR FEE = 553.00 per hour (3 hour minimum per facility = 5159.00) $ <br /> M CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> 1 <br /> 5 <br /> C FEE = 553.00/hr FEE = 553.00/hr FEE w S 53.00/hr <br /> TOTAL DUE <br /> OFFICE USE ONLY <br /> xe.wwrers xm reea►�ms amaa.zw xes»Dens Mrs sre.er w»w000n ruxsps�mowm meo.»ee�mee pa.mem rao rm.s.m.xw xew.yew�aaee.xw x.aw�..b..»o.»xas aaw.s»e.xeeo.aegis rr x.ses lees xsaas wm�s m.rem..m.�m xenesfees rws <br /> macaarSteS ` G° ' `T `t5 °`C t ' 5 `L� 1L� aJ ` n1tl� C ` t �ac '3RcrcSi "�sa� <br /> `' c �— i <br /> Lot .�..'... :I:.I?...�. O............. �.. ...... `.. <br /> EH 23 032 (REV 1/10/91) ft �� f Pao, 11 '7 01 T-10 � C <br />