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SAVOOAQUIN LOCAL HEALTH D�TRICT <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSH <br /> FI FACILITY/SITE MANE FACILITY CONTACT NAME <br /> A <br /> Lamb's Auto Sales Cleve Lamb . <br /> STREET ADDRESS SITE PHONE 1 N'TN AREA ccnc <br /> 777 E. Yosemite Ave <br /> T-_ (209) 239-8228 <br /> Y CITY STATE IIP CODE 1 of Tanks <br /> Manteca Ca 95336 at Site (1) <br /> -�--- - <br /> F APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P Lamb's Auto Sales <br /> L Cleve Lamb <br /> --- -- ----- -- - <br /> I MAILING ADDRESS APPLICANT PHONE 1 wrrN AREA cone <br /> C_ 7.77 E. Yosemite Ave_ _ <br /> -- _ 209) 239-8228 <br /> I CITY - STATE IIP'CODE TYPE of APPLICATION <br /> Manteca Ca. 95336 CLOSURE, INSTALLATION, erc. <br /> ------- - - --— — -�_ -� ---� Closure <br /> FACILITY FEE = 1100,00 each SITE ADDRESS per YEAR _ TOTAL <br /> C 1986 1987 1998 1999 - <br /> V — - -- f <br /> T _ <br /> I <br /> E TANK FEE = 150.00 each TANK -- <br /> F 1 Tanks x 150.00 1986 1981 1908 1989 <br /> A (multipfy-f by fee for <br /> C <br /> C each year applicable) <br /> -- -- ---�-�-- 1 <br /> STATE SURCHARGE - $56.00 each TANK (see CA HEALTH 6 SAFETY CODE Sec 25287 for applicability) <br /> I -- -- <br /> T 1 Tanks x 156.00 1986 1981 1988- 1999 - <br /> Y (enter 5iovnt and year) <br /> C PERMANENT Eiiillt (Removal or Closure-in-place)— - <br /> L _CLO---- <br /> D SURE FEF = 190.00 each TANK I Tanks_ _ x (90.00 1 <br /> S _-_ - 90.00 <br /> U -- <br /> R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br /> E <br /> TEMPORARY CLOSURE FEE = $80.00 each TANY, I TanR.s x 190.00 5 <br /> P PLAN CHECK (Installation or Repair) ---- <br /> n — ——--- --- -- ---- — --- ---- -- — ----- ---- — --- <br /> N PLAN CHECK-FEE-=- $30.00 each SUBMISS1011/RESUDMISSIOtt_---- — --- -- t <br /> REPAIR -- - ------- <br /> P. TANY, REPAIR FEE _ $110.00 each TANK - — <br /> 1 Tanks---- x 1110.00 1 <br /> A PIPING F.EPAIR/CLOSUP,E/P.ENOVAL (Fees are per hour, minimum one hour to be paid on plan submittal) <br /> R UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION INSPECTION SAMPLING INSPECTION <br /> (when applicable) When applicable) (when applicable) <br /> FEE = 130.00/hr FEE _ $35BOA FEE = 535.00/hrj <br /> - --- _.._.._._.. -..-_ ---- --- - - -- -- ---- .4-^---- <br /> TOTAL DUE 1 90.00 <br /> OFFICE USE OA(K - <br /> uNor�un N�IC!NNI9N <br /> �� sal �rucR^� ANN A ° ISN mNN NUNu � ur�imcNN�rnobia .N M!:Will ROOM� T 9M10�61�18N�V?:1C��'a <br /> I, SUEEPS 1 COMP I LOC CODE DIST CODE AMOUNT DUE AMOUNT RCVD CHECK, I/CASH RCVD BY DATE RECEIVED PERMIT 1 <br /> �=, ,v���NiN'�r$�':��»��s� <br />