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aAVIXOMENTAL NEALTN DIVISION <br /> . -IRbwWlO6 RI STORM TANK PROORMI • FEE <br /> /r FACILITY SITE RAW FACILITYNSTACT WANE <br /> f � <br /> C 1 YOLOJ <br /> L <br /> FACILITY SITE PHONE N rithZ / <br /> T CITY <br /> 5 STATE UP =1 0 of TMR(S Ll <br /> iq$Z at SITE <br /> A AP/LICANT/$tLLING NAME APPLICANT CONTACT NAME <br /> P <br /> P <br /> 176AJ <br /> I MAILI ADDRESS IMIAPPLICANT PNONE 0 YITN AREA CODE <br /> C <br /> %W A <br /> N CITY STATE ZIP CODE TYPE of APPLICATION <br /> T �SyJg"J CLOSURE, INSTALLATION, ate. <br /> A MAL <br /> C 1906 1987 1906 1909 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) ■ $100.00 <br /> I <br /> V S <br /> E TANK FEE ■ S50.00/7ANK (Prior to January 1,1991) $170/TANK (after January 1, 1991) <br /> F 9 Tanks ■ 1906 1907 1984 1909 1990 1991 1992 1993 194$ 1995 1996 <br /> A (muttipty I-Wy faa•for <br /> I a" VOW appticdA*) s <br /> ' i STATE SURCHARGE • $66.00 each TANK (Ow awry S years) tae California N i S Code, Section ZS267 <br /> T 9 Tanks x $56.00 1906 through 1990 1991 through 19% <br /> Y (anter aaiant and Ver) <br /> s <br /> c. PERMANENT CLOSURE (Rowel or Authwfxrd Ctoaura-in-Place) TANK I.D. #(s) <br /> L CLONE/ FSE ■ $53.00 Par Nis► (s heurs oinfom per TANK) N TANK(&) 41 X $159.00 ■ $ ?'6 00 <br /> 0 <br /> i <br /> U L TEMPORARY CLOSURE (A wwtfm pwWt, for reviaw/inspectia») TANK I.O. $(s) <br /> R <br /> E TEMPORARY CLOSURE FEE ■ $150.00 each TANK S TANK(s) X $150.00 •' $ <br /> 1r <br /> P PLAN CHECK (Instatt. Pian Ravfew i Construction knpeetions) TANK I.O. !(s) <br /> L <br /> A <br /> N PLAN CHECK FEE • $53.00 per hour (3 hours minium par Facfifty) ■ SQ4.00 minimm S <br /> R REPAIR FEE (workp(sn review i construction inspections) TANK I.O. $(a) <br /> E <br /> P TANK REPAIR FEE ■ 553.00 per hour (3 hours atfni=.*/TANK) M TANK(s) <br /> A # X9.00 ■ S <br /> 1 <br /> R PIPING REPAIR FEE ■ $53.00 per hour (3 hour wfnimus par facfIIty ■ $159.00) S <br /> M :COMU7LTATIONS UNAUTNORiZED RELEASE EVALUATION SAMPLING INSPECTIONISC S63.00/hr FEE ■ SS3.00/hr FEE ■ S 53.00/hr <br /> TOTAL DUE S <br /> OFFICE USE ONLY <br /> ' awwrsw�7i.+ww ..a��wwr.w+w.i..»waw►r.rarir.iirriiriw.��iiiwiwwsww�►ii►iw�wiwiiwwiaiirw"" <br /> f U951 w - ..".w►w <br /> l�b1g1�►�1M�111� LI►IIwL■1►711.Iw..IIrIMrl�►f�.i►M.J��11471II.�fMrMIM►fir Utll►11MM�1A••••••••••••••«..«....«.... w....«..«......««...........«. ..........««««...........«.««».«..� <br /> ��~���1~��~������������Il������ri.ll►r7MIwlIINII►IIIM►+I1.7MI.r7I.I1►w M�III►i.s1l� <br /> EN Z3 032 Caw 1/10/911 ft Paw 11 <br /> r <br />