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16`1WIF� <br /> SAN JCACUIN COUNTY PUBLIC HEALTH SERVICES pt <br /> ���� n IY I� <br /> ENVIRONMENTAL HEALTH DIVISION fI V <br /> UNDERGRCUND STCRAG-E TANK PROGRAM - FEE WCRXSHEE7 <br /> FACILITY SITE NAME FACILITY CONTACT NAME NOV <br /> O V 14 1991 <br /> A Cogeneration National Corp. Richard A. Recor V JJ <br /> C - SITE PHONE - with AREA CODEENVIRONMENTAL HEALTH <br /> I FACILITY ADDRESS PERMIT/SERVICES <br /> L 2526 W. Washington Street (209) 467-3838 <br /> I STATE ZIP CODE '+ of TANKS <br /> Y �Ttockton CA 95203 at SITE One <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAHE <br /> P <br /> P Cogeneration National Corp. Richard A. Recor <br /> L ( APPLICANT PHONE Y WITH AREA CODE <br /> I NAILING ADDRESS <br /> D 2526 W. Washington Street 209 467-3838 <br /> A <br /> NCITY STATE ZIP CCOE TYPE of APPLICATION <br /> T Stockton, CA 95203 closuRE, INSTALLAiICV, etc. Installation <br /> TOTAL <br /> A <br /> O 1986 11987 1 1988 ( 7989 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) = S100.00 I 100 100 100 100 S 400,00 <br /> t <br /> V <br /> E TANK FEE = 550.00/1ANK (prior to January 1,1591) x'5170/TANK (after January 1, 1991) <br /> F X Tanks = _ 1986 1987 1988 11989 1 1990 1991 11992 1 1993 1 1996 1 1995 1 1996 <br /> A (multiply A by fee for <br /> C each year appLicable) 1 50 50 I 50 50 1701 1 1 1 s 380,00 <br /> ! STATE SURCHARGE = 556.00 each TANK (Due every 5 years) See California HSS Code, Section 25287 <br /> T Tanks x $56.00 1986 through 1990 1991 through 1996 <br /> Y (sneer amount and year) <br /> 56.00 56.00 s 112.00 <br /> PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) I TANK I.D. '(S) <br /> C <br /> L CLOSURE FEE = S53.00 per hour (3 hours minimum per TANK) 1 TANK(s)_ X 5159.00 = S <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for review S irscections TANK I.D. :(s) <br /> z <br /> - TEMPORARY CLOSURE FEE - S150.00 each TANK I TANKCS) _ X 5150.00 S <br /> P PUN CHECK (Instatl. Plan Review S Construction Inspections) I TANK I.D. '(s) UL#J-351645 $ - <br /> 133 #/946L <br /> A <br /> N PLAN CHECK FEE - S53.00 per hour (8 hours minimum per Facility) = 5426.00 minimum S 424.00 <br /> 3 REPAIR I TANK I.D. ;(s) <br /> P TANK RE?AIR FEE = 553.00 per hour (3 hours minina=n/TANK) TANK(s) X 5159.00 = S <br /> A <br /> I <br /> R PIPING REPAIR REVIEW S CONSTRUCTION = S53.00 per hour (3 hour minimum per facility = S159.00) S <br /> H CONSULTATIONS - UNAUTHCRIZED RELEASEE EVALUATION SAMPLING 14SPECTICR <br /> f <br /> 5 <br /> C FEE, 553.00/hr I FEE = 553.00/hr I I FEE = S 53.00/hr <br /> TOTAL DUE LS—LI-1-1—I 00 <br /> OFFICE USE ONLY <br /> • <br /> `n CVD3Y DR-Z_ivr <br /> ...-�S vs SL- 'vaaas ta 9uwta <br /> i a.ccrS I uC4P I LOC CCOt � DiiT CJ'= L. AIAbUN�"7t.D �Ca_CL ../CASri .I � E�vcO cn. Ii 9 's <br /> D5 <br /> 3 z 5 1306 0" cd tgjvo p/r ly �/ ' <br /> ' L___Iawl....._._._...... ._l.._..... . . <br />