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SAN JOAQUI ')NTY PUBLIC HEALTH SERVICES-ENVIRO 'TAL HEALTH DIVISION <br />UNDERG JND STORAGE TANK PROGRAM a —E WORKSHEET <br />ACTIVE FACILITY <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK <br />$125 PER TANK AFTER FIRST TANK <br />1996-1999 <br />($170) X(# tanks) X (# of years applicable) <br />2000 <br />2001 <br />SR <br />EH 23 032 (REVISED 84-011 <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $8 /TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY INA CUPA PROGRAM= $10 / FACILITY <br />PERMANENT CLOSURE <br />(Removal or Permitted Closure in <br />TANK ID # (s) : <br />TEMPORARY CLOSURE <br />(Plan Review and Inspections) <br />TANK ID # (s) : <br />INSTALLATION PLAN CHECK <br />(Plan Check and Construction Insl <br />TANK ID # (s) : <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />TANK LINING REPAIR FEE _ $267 / TANK <br />TANK RETROFIT REPAIR FEE = $267 / FACILITY <br />PIPING REPAIR FEE = $267 / FACILITY <br />CLOSURE FEE = $267 / TANK <br />TEMPORARY CLOSURE FEE = <br /># TANKS X $267 = $ <br />71 FACILITY $ <br />PLAN CHECK FEE = $712 / FACILITY <br /># TANKS X $267 = <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE _ $ 89/ HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 89 / HOUR <br />SAMPLING INSPECTION FEE = $ 89/ HOUR <br />ALL FEES ARE BASED ON TRF ino unuoi v oerc <br />OFFICE USE ONLY <br />1 <br />SERVICE REQUEST # <br />FACILITY ID AMOUNT RECEIVED <br />CHECK # <br />RECEIVED BY <br />DATE RECEIVED <br />SR <br />EH 23 032 (REVISED 84-011 <br />