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SAM JOACUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE 10 KSHEET <br /> FACILITY s1TE NAME <br /> F FACILITY CONTACT NAME <br /> A M.L. Grenz <br /> C Richard Thorpe <br /> I FACILITY ADDRESS 6540 E. Jahaunt Rd <br /> SITE PHONE R with AREA CODE <br /> f <br /> T CITY 20 6 nh <br /> - <br /> y Acampo, STATE ZIP CODE N of TANKS <br /> A APPLICAHI/91LLIH0 NAME Ca 95220 at SITE <br /> P APPLICANT CONTACT NAME <br /> P Same as above <br /> L Richard Thorpe <br /> I MAILINQ ADDRESS <br /> C APPLICANT PHONE 0 SII TH AREA CODE <br /> A ! <br /> N CITY same ns ..above <br /> I STATE ZIP CODE ITYPE of APPLICATION f <br /> CLOSURE, INSTALLATICN, etc. I <br /> Removal <br /> A <br /> C TOTAL <br /> T ANNUAL FACILITY FEE (Prior to January 1, (991) $100 00 1986 1987 1988 1989 1990 <br /> IExem t <br /> V P Ag. Tank 2 <br /> E TANK FEE = 150 00/TANK (prior to January 1,1991) <br /> F R Tenks 1986 1987 1988 1989 1990 TANK 1170 <br /> / (after January T, 1991) <br /> R <br /> A (multiply fee for 1991 1992 ?993 1994 1995 1996 <br /> C each year applicable) <br /> f <br /> f � <br /> L STATE SURCHARGE = 156 00 each TANK (Due ever 3 <br /> t Y years) See Cellfernfe H i S Code, Section 25287 <br /> T N Tanks x 156 00 1986 through 1990 <br /> Y (enter amouit and year) 1991 through 1996 <br /> f <br /> PERMANENT CLaSURE (Removal or Authorized Closure-In Place <br /> TANK 1 D N(a) <br /> L CLOSURE FEE ■ 153 00 per hour (3 hours mfnlmun <br /> O per TANK) N TANK(s)�I X $159 00 <br /> S ■ f 159.00 <br /> U TEMPORARY CLOSURE (A one time permit, for review/Inspections) TANK 1 D. N(e) <br /> R <br /> £ TEMPORARY CLOSURE FEE s $150 00 each TANK <br /> N TANK(s) X !158.00 *� f <br /> P PLAN CHECK (Tnatalt Plan Review ! Construction inspections) TAMC 1 D N(e) <br /> L <br /> A <br /> N PLAN CHECK FEE - 153 00 per hour (B hours minim n per Fact tft <br /> Y) e1424 00 mfnimun 1 <br /> R REPAIR FEE (workplan review d construction inspections) TANK I D N s <br /> E ( ) <br /> P TANK REPAIR FEE 153 00 per hour (3 hours mfnlmurWTANK) N TANK(s) <br /> A x 1159004 ! <br /> 1 <br /> R PfPINO REPAIR FEE 4 253 00 per hour (3 hour minIrmn per facility m 2159 00) <br /> M CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> I <br /> 4 <br /> C FEE 91 1153 00/hr FEE if 153 00/hr <br /> FEE = 1 53 00/hr <br /> ! <br /> OFFICE USE ONLY TOTAL DUE <br /> AR��.rioYSwni7winuwrw �7wis�.►wrwww�..�wnx.srwlwa,�w <br /> s��S�i �� �� �S�CI�t w�T�L��w��.nk��/u����L��w�isMwr'���r'w�,�w■.: <br /> wTrifl�i"iiwr�i�i+i M.iw«�wir«w«�i«r«.►wM««w»»» Q� �r � <br /> MM AMYMIIMMMA�MiNYM�IM�fM1rAMMM1MM�AI�MNMMMwM�l1AYr1 Ml����sw�w+wwwpnw»wiwniw»..ur:.»� �► <br /> MU1�11UYwR �11r�Yl1AMNeA11tAMMr1YM�1IM1�A�11 �RA MI <br /> rN 23 Olt (seEv 100191) rt Mir �j <br /> Pace 1 1 <br />