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panq <br />JUL 0 7 1992 <br />ENVIRONMENTAL HEALTH <br />SAM JOAOUIN COUNTY PUBLIC HEALTH SERVICES PERMIT/SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br />F <br />A <br />C <br />FACILITY SITE NAME <br />DDRW-Tracy <br />FACILITY CONTACT NAME <br />Marshall Cloud/Mark Philliber <br />I <br />L <br />1 <br />FACILITY ADDRESS <br />25600 Chrisman Road <br />SITE PHONE If with AREA CODE <br />(209) 832-9908 <br />T <br />T <br />CITY <br />Tracy <br />STATE <br />CA <br />- ZIP CODE <br />95376 <br />fof TANKS <br />a s1tE <br />A <br />P <br />P <br />L <br />APPLICANT/BILLING MANE <br />IT Corporation <br />APPLICANT CONTACT NAME <br />Sohn McGuire/Dan Friberg <br />IC <br />A <br />MAILING ADDRESS <br />4585 Pacheco Boulevard <br />APPLICANT PHONE IF WITH AREA CODE <br />(510) 372-9100 <br />N <br />Tj <br />CITY Martinez <br />STATE <br />CA <br />ZIP CODE <br />94553 <br />TYPE of APPLICATION <br />110SURE, INSTALLATION, ate. <br />Closure <br />A <br />TOTAL <br />C <br />T <br />1 <br />v <br />ANNUAL FACILITY FEE (Prior to Jseary 1, 1991) • 2100.00 <br />1986 1987 1986 1989 1990 <br />S <br />E <br />TANK FEE • 250.00/TANK (prior to January 1,1991) <br />2170/TANK (after January 1, 1991) <br />F <br />A <br />e TW(a• <br />(multiply fee for <br />sash year app Itabla) <br />1986 1987 1988 1989 1990 <br />1991 1992 1993 1994 1995 1996 <br />50 50 100 100 100 340 340 <br />2 1,080.00 <br />Ll <br />STATE SURCHARGE - SM -00 66th TANK (DW every S years) Sae California H A S Cede, Section 25287 <br />T <br />T <br />I TaNn x $56.00 <br />(anter umft aid year) <br />1916 throullb 1990 <br />1991 threuoh 1996 <br />56.00 1 56.00 <br />S 112.00 <br />PERMANENT CLORRE (Removal or Author(ted Ct=ne-jn-Pied) <br />TAM t.D. !tt) <br />L <br />0 <br />CLOSURE FEE • SS3.00 pea hour (3 hou t miniaa per TANK) <br />f TANK(s)_.L__ K $159.00 • <br />S 159.00 <br />S <br />U <br />R <br />TEMPORARY CLOSURE (A on-time permit, for rav(aWfr" etfons) <br />TARZ I.O. f(e) <br />E <br />TEMPORARY CLOSURE FEE - $/50.00 each TANK <br />B TANK(e) K $150.00 • <br />S <br />P <br />L <br />PLAN CHECK (Install. Plan Review Z Construction Impaction) <br />TAM 1.0. fie) <br />A <br />N <br />PLAN CHECK FEE - SS3.00 pea' how (1 hours minims Per Facility) - S424.00 minims <br />S <br />R <br />E <br />REPAIR FEE (workplan review i Canstructlon inspections) <br />TANK I.D. f a) <br />P <br />A <br />TAN[ REPAIR FEE •553.00 per hour (3 heuy minleuyTAMK) <br />f TANK(s) K 5159.00 • <br />S <br />1 <br />R <br />PIPING REPAIR FEE - 553.00 per hour (3 her minima per facility <br />a 5/59.00) <br />f <br />M <br />1 <br />TRANSFER FEE •220.00 UNAUTHORIZED RELEASE EVALUATION •253.00/hr <br />f <br />C1 <br />CONSULTATION FEE • S93.00/hr SAMPLING INSPECTION FEE <br />■ 553.00/hr <br />S <br />TOTAL DUE I s 1,351.00 <br />EH 23 032 (REV 4/8/91) ft Page 11 <br />