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SAN JOAQUIN COUNTY PUBLIC 11EALTH SERVICES - ENVIRONMENTAL HEALTH AN <br />UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br />FACILITY CONTACT NAME <br />S FACILITY SITE NAME <br />I CAPITOL AUTO SALES JAGENDER SINGH <br />T SITE PHONE k with AREA CCOE <br />rt FtLTYEAaDRMINER AVENUE (209) 466 9082 <br />STATE ZIP CODE x of TANKS <br />A <br />cITtTOCKTON CA 202 at SITE <br />P APPLICANT CONTACT NAME <br />NAME <br />LDER <br />APPJAGENGSIINGH JAGENDER SINGH <br />I APPLICANT PHONE # WITH AREA CODE <br />C MAILING ADDRESS <br />A 650 E. MINER AVENUE STO <br />N <br />T� CITY STOCKTON <br />STATE ZIP CODE I TYPE of APPLICATION CLOSURE <br />CA 95202 (Closure, Installation, ere.) <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100-00 <br />I A <br />C <br />T FACILITY PENALTY FEES ASSESSED (If Applicable) <br />I <br />Y TANK FE_ E = $50.00/TANK (Prior to January 1,1941) <br />E 198#)Xcxx)Xclxx <br />90 1991 11942 <br />Tanks = <br />F1 (mu(riply # by fee for <br />A each year applicable) XXXXX XXXX XXXX <br />I TANK PENALTY ;EES ASSESSED I xXxXX xxxx IXXXx <br />L <br />I STATE SURCHARGE FOR NEW FACILITIES ONLYVS18.50 <br />T 71 1988 througk 1993 (556) <br />Y N Tanks x 38.00 <br />SURCHARGE FOR 1998 KXXXXXXXXXXXXXXXXXXXXXX%XXX <br />TOTAL <br />1986 1 1987 1 1988 1 1989 1990 <br />1993 through 1997 ,556) 1998 <br />AXXXXXxXXXXXXX%X%%X%XX( S <br />%XXX XXXX XXXX XX%% XXXx S xXXXxxxx <br />XXXX XXXX XXXX XXXX XXXX S xXxXXXxx <br />S170/TANK <br />C PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) ' TANK I.D. #(s) <br />L S iANK(s) � X $234.00 = <br />0 CLOSURE FEE = S78.00/hour (3 hours minim�sn/TANI;) 1 <br />S TANK 1,D. x(s), <br />U TEMPORARY CLOSURE (Plan Review & Inspections) <br />R <br />E TEMPORARY CLOSURE FEE = S78.00/hour (3 hours mir mun/FACILITY) 5234.00 minimus <br />-. <br />S <br />S <br />P INSTALLATION PLAN CHECK (Plan Review & Construction Inspections)I TANK I.D. Vs)_ <br />L <br />Ax 5624.00 minimum 5 <br />N PLAN CHECK FEE = S78.00/hour (8 hours minimm/FACILITY) <br />R REPAIR FEE (workplan Review & Construction Inspections) I TANK I.O. X(s) <br />E X S234.OD = 5 <br />P TANK LINING REPAIR FEE = 578.00/hour (3 hours minimum/TANK) # TANK(s) <br />A S <br />I TANK RETROFIT REPAIR FEE = S78.00/hour (3 hours nein./FACILITY) = 5234.D0 minimus _ <br />R= SZ34.00 minimum S <br />PIPING REPAIR FEE = 578.00/hour (3 hours minims^'FACILITY) <br />M TRANSFER FEE = $20.00 <br />I <br />S <br />C CONSULTATION FEE = 578.00/hr <br />FOR OFFICE USE ONLY <br />?:`'•="'::F-::::._:s=Wzo:-._ <br />SWEEPS x COMPUTER 0 I LOC CODE <br />cw ;1z n37 (RFVrSED 1-12-98) <br />UNAUTHORIZED RELEASE EVALUATION = 578.00/hr I I <br />SAMPLING INSPECTION FEE = s78.00/hr <br />DIST CODE AMOUNT RECEIVED I CHECK ;$/CASH <br />S <br />1 $ <br />TOTAL DUE I S 234.00 <br />RECEIVEG BY I DATE RECEIVED <br />(After January <br />1, 1941) <br />1993 <br />1944 <br />1445 1 1496 � <br />1497 1998 <br />S <br />S <br />C PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) ' TANK I.D. #(s) <br />L S iANK(s) � X $234.00 = <br />0 CLOSURE FEE = S78.00/hour (3 hours minim�sn/TANI;) 1 <br />S TANK 1,D. x(s), <br />U TEMPORARY CLOSURE (Plan Review & Inspections) <br />R <br />E TEMPORARY CLOSURE FEE = S78.00/hour (3 hours mir mun/FACILITY) 5234.00 minimus <br />-. <br />S <br />S <br />P INSTALLATION PLAN CHECK (Plan Review & Construction Inspections)I TANK I.D. Vs)_ <br />L <br />Ax 5624.00 minimum 5 <br />N PLAN CHECK FEE = S78.00/hour (8 hours minimm/FACILITY) <br />R REPAIR FEE (workplan Review & Construction Inspections) I TANK I.O. X(s) <br />E X S234.OD = 5 <br />P TANK LINING REPAIR FEE = 578.00/hour (3 hours minimum/TANK) # TANK(s) <br />A S <br />I TANK RETROFIT REPAIR FEE = S78.00/hour (3 hours nein./FACILITY) = 5234.D0 minimus _ <br />R= SZ34.00 minimum S <br />PIPING REPAIR FEE = 578.00/hour (3 hours minims^'FACILITY) <br />M TRANSFER FEE = $20.00 <br />I <br />S <br />C CONSULTATION FEE = 578.00/hr <br />FOR OFFICE USE ONLY <br />?:`'•="'::F-::::._:s=Wzo:-._ <br />SWEEPS x COMPUTER 0 I LOC CODE <br />cw ;1z n37 (RFVrSED 1-12-98) <br />UNAUTHORIZED RELEASE EVALUATION = 578.00/hr I I <br />SAMPLING INSPECTION FEE = s78.00/hr <br />DIST CODE AMOUNT RECEIVED I CHECK ;$/CASH <br />S <br />1 $ <br />TOTAL DUE I S 234.00 <br />RECEIVEG BY I DATE RECEIVED <br />