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LIZ } <br /> • SsWCCACU I.4 C(AlN TY PUBLIC HEALTH SERVICES <br /> ENVIRCNMENTAL HEALTH OIVISIC11 <br /> UNOERGRL7;N0 STORAGE TANK PROGRAM FEE 14CRKSHS-T <br /> . � FACILITY SITE NAME FACILITY CONTACT NAME <br /> A Stockton Metropolitan Transit District John W. Stewart <br /> I FACILITY ADDRESS SITE ?HOME . with AREA CCOE <br /> L 1533 East Lindsay Street ( 209 ) 948-5566 <br /> CITY STATE TIP CODE 1 of TANKS <br /> Y Stockton Ca . 95205 at SITE 6 <br /> A APPLICA41/BILLING NAME APPLICANT CONTACT NAME <br /> P <br /> P Walton Engineering Inc . Mike Lee <br /> I NAILING ADDRESS APPLICANT PHCNE S VITH-AREA CODE <br /> G 837 Riske Lane ( 916) 372-1888 <br /> 9 CITY STATE 2(P CODE TYPE of APPLICATION new <br /> T I West Sacramento I Ca . I 95691 1 CLOSLRE, INSTALLATICH, etc. instal n <br /> TOTAL <br /> A <br /> C 1986 1987 1988 1989 1990 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) - 5100.00 <br /> I S <br /> V <br /> - TANK FEE 550.00/TANK (prior to Jan ary 1,1991) S170/TANK (after January 1, 1991) <br /> F x Tanks I 1986 1967 11988 1 1989 1990 1991 1992 1993 1 1994 1995 1 1996 <br /> A (,tultiply a oyoy fees for <br /> C each year applicable) S <br /> L STATE SLRC!URGE • 556.00 each TANK (Due every i years) See California H S S Cote, Section 25287 <br /> i <br /> T I 1 Tanks z S56.00 1986 thr_ugh IM 1991 through 1996 <br /> Y (enter amount and year) <br /> S <br /> PERMANENT CLOSURE (Removal or Authorized Clcsure-in-Place) TANK I.D. 1(s) <br /> r <br /> L CLCSLRE FEE - $53.00 per hour (3 hours minimum per TANK) 17 TANK(s)_ X 5159.00 S <br /> 0 <br /> 5 <br /> U TEHPCRARY CLOSURE (A one-time permit, for r- lew d inspections TANK L.O. S(s) <br /> R <br /> TEHPCRART CLOSURE FES = 5150.00 each TANK 0 TANK(s) <br /> ___.:X 5150.00 = S <br /> P PLAN CHECK (Install. Ptan Review d Construction Inspections) TANK I.D. ITS) <br /> L <br /> A I, <br /> N PLAN CHECK FEE - 553.00 per hour (8 hours minimum per Facility) = 5424.00 minimum �2uf' 2�L, <br /> R REPAIR TANK 1.0. :(s) •J <br /> 7 TANK REPAIR FEE = S53.00 per hour (3 hours minimmm/TANK) S TANK(s) _ X 5159.00 = S <br /> A <br /> I <br /> R PIPING REPAIR REVIEW d CONSTRUCTION = S53.00 per hour (3 hour minimum per facilfty - $159.00) S <br /> H CCNSULTATICNS UNAUTHCR12EO RELEASE EVALUATION SAMPLING INSPECTION <br /> i <br /> C rCE = 553.00/hr FEE = 553.00/hr FEE 5 53.00/hr <br /> , TOTAL DUE IsLi24 ,, <br /> OFFICE USE CULT <br /> cE7Sn I u_`rA �CJC"CCOc -Of of CG:E�•� AIICUNT'RC.O "`I Cnc_< --/C..ori" TRC`iD 3Y `tT', 'c <br /> i i <br />