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SAN JOACUIN COUNTY PUBLIC HEALTH SERVICES D {�T�� (lav <br /> V ENVIRONMENTAL HEALTH OIVISICN (.S R O if <br /> UNDERGROUND STORAGE TANK PROGRAM FEE WORKSHEET <br /> FACILITY SITE NAME I FACILITY CONTACT NAME NOV 14 1991 <br /> A Cogeneration National Corp. Richard A. Recor <br /> 1 FACILITY ADDRESS SITE PHONE 9 with AREA =eEN IROME VICES <br /> M HEALTH <br /> L 2526 W. Washington Street (209) 467-3838 <br /> I <br /> Y �Vockton CAAra 2195203 atoSITEKsOne <br /> Y <br /> A APPLICANTAILLING NAME APPLICANT CONTACT HANE <br /> P <br /> P Cogeneration National Corp. Richard A. Reco <br /> L <br /> I MAILING ADDRESS APPLICANT PHONE Y WITH-AREA CODE <br /> C 2526 W. Washington Street 209 467-3838 <br /> A <br /> STATE ZIP CODE TYPE of APPLICATION <br /> r e tockton, CA 95203 CLOSURE, INSTALLATION, etc. Installation <br /> TOTAL <br /> A <br /> C 1986 1987 1988 1 1989 1990 <br /> T ANNUAL FACILITY FEE (Prior CO January 1, 1991) = S100.00 100 100 100 100 f 400,00 <br /> l <br /> V <br /> TANK FEE = s50.O0/TANK (prior to January 1,1991) - 'V'5770/TANK (af;er Jarvary 1, 1991) <br /> F S Tanks = 1986 1987"11988 1 1989 1990 1 1991 1992 1 1993 1 1994 1995 1 1996 <br /> A (multiply C byf" for <br /> C each year applicable) I 50 50 I 50 1 501 1701 I 1 1 I Is 380,00 <br /> I 0 <br /> L STATE SURCHARGE - S56.00 each TANK (Due every 5 years) See California H S S Code, Section 25287 I v <br /> T Tacks z 556.00 1986 through 1990 1991 through 1996 <br /> Y (enter amount and year) <br /> 56.00 56.00 Is 112.00 rig <br /> PE..XAANENT CLOSURE (Removal or Authorized Closure-in.Place) TANK I.D. -(s) <br /> C <br /> L CLOSURE FEE a 553.00 per hour (3 hours minimum per TANK) I s iANK(s)_ X 5159.00 • 5 <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A oro-time permit, for review d inspections TANK 1.0. :(s) <br /> R <br /> TEMPORARY CLOSURE FEE - $150.00 each TANK TANKCs) X 5150.00 S <br /> L PUN CHECK (Install. Plan Review S Construction lnsprtions) TANK I.D. :(s) - - .2�� <br /> A ` ' /�/ <br /> N PLAN CHECK FEE - S53.00 per hour (8 hours minimum per Facitity) 5424.00 minimum 5 424.00 p.T1 <br /> R REPAIR TANK E.D. ±(s) <br /> P TANK REPAIR FEE = $53.00 per hour (3 hours minimm/TANK) TANK(s) _ X 5159.00 = S <br /> A <br /> I <br /> R PIPING REPAIR REVIEW dCONSTRUCTION = 553.00 per hour 0 hour mini mum per facility = $159.00) f <br /> N CCNSULTAT IONS - UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> 1 <br /> S <br /> FEE = 553.00/hr I I fEE = S 53.00/hr <br /> TOTAL DUE is 1 ,306.00 <br /> OFFICE USE ONLY <br /> i s a I �Ga � O •-m ^- .s. ,, s--sa .� .,xs _ vO. .is c <br /> �F <br /> wt.ei �7 D ". rscn�. <br /> vac:=.r r <br /> a <br />