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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISICN <br /> UN ERGRCUND STORAGE TANK PROGRAM FEE Uf7RRKSHEE <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> AKooken Trucking Inc. Raymond Vieira <br /> C <br /> I FACILITY ADDRESS SITE PHONE # with AREA CODE <br /> L 40126 Munford Ave. (209)948-8370 <br /> I CITY STATEF95205 <br /> E # of TANKS 1 <br /> Y Stockton, Ca, at SITE <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P Same as above Same as above <br /> P <br /> L <br /> I HAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> C Same as above 209)462-2083 <br /> A <br /> N CITY STATE ZIP CCDE TYPE of APPLICATION <br /> T CLOSURE, INSTALLATION, etc.Rerrloval <br /> TOTAL <br /> A <br /> C 1986 1 1 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br /> E <br /> I <br /> V <br /> E TANK FEE = 250.00/TANK (prior to January 1,1991) S170/TANK (after Janue 1 1991 <br /> F # Tanks = 1986 1987 1988 1989 1990 1991 1942 {; I� j �it•�9b <br /> A (multiply # by fee for <br /> C each year applicable) 2 <br /> I <br /> L STATE SURCHARGE = 356.00 each TANK (Due every 5 years) See California H & S Code, section 25287 <br /> E <br /> T # Tanks x $56.00 1986 through 1990 1991 through 1996 <br /> Y (enter amount and year) <br /> 3 <br /> PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) TANK I.D. #(s) <br /> e <br /> L CLOSURE FEE = $53.00 per hour (3 hours minimum per TANK) # TANK(s) 1 X $159.00 = S 159.0 0 <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for review/inspections) TANK I.D. #(s) <br /> R <br /> E TEMPORARY CLOSURE FEE = $150.00 each TANK # TANK(s) X $150.00 = 2 <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) - $424.00 minimum $ <br /> R REPAIR FEE (workplan review d construction inspections) TANK I.D. #(s) <br /> E <br /> P TANK REPAIR FEE - $53.00 per hour (3 hours minimum/TANK) # TANK(s) X $159.00 = E <br /> A <br /> I <br /> R PIPING REPAIR FEE _ $53.00 per hour (3 hour minimum per facility = 2159.00) 5 <br /> H CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> I <br /> 5 <br /> C FEE = $53.00/hr 'FEE = 553.00/hr FEE r $ 53.00/hr <br /> TOTAL DUE <br /> OFFICE USE ONLY <br /> WIT <br /> Mwor <br /> woe ww ween woe bases ba bee»wa was wanes wee new wa weu+bee beeps was woo vans wan bnees Bees reeeas ewes aegis weabs was weees wee wens was beaes bN w06 aeoan was weans was woees aas was beets»»aeoeee oeee bows aegis bew wa was wens>ees ase! <br /> w.s »eee.was wae»was weaabesbasbenswas wan waF xeeesbes weasw»w»iame w..weeee rw weans»ii was a:.+.s»»wa«.ue.».+sew»wwa�ww iiai weae.w.s waaw aegis bseu wesaw wasas 7+w wieei was ben arsw»was wens w.s wa. <br /> �rne� � abr a�ra�ae�ad«awx:sesasas ax:rox�t� aesae�araarawasaesaes�sarras�+e rxs anmsa�ca�at un pox �eaax annn>mx oar aaersaesaams xera�msax aes�au aimsaasAes <br /> EH 23 032 (REV 1/10/91) ft Pace 11 <br />