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�'�,.,,Y..jw�si,q s��,.� �:yl j...•-•_u�1..-„�: _._ ate;`*rti,:i^''+"" :'r._"1:-.�7 Vis„%-•-.a5-,.�.• `";r. "y".Mr•'�'ri::r..:"E.•1.: -•,L�.` ' ;. <br /> Sax JCAOUIM CMMTT PUBLIC.VEALTII SERVICES <br /> INVIRCUNWAL HEALTH DIVISICW <br /> VWfQGROU0 STORAGE TANK PROGRAM FEE u=CSNEET <br /> TKent*,s' 0i1 <br /> TY SITE NAME FACILITT CONTACT NAME <br /> Service •Kent Raserty <br /> Y ADDRESS 51TE PUDNE ! MitA AREA CODE <br /> E. Miner 209 333-8557 <br /> - <br /> ' T CITY- STALE IIP CODE S of TAN1cS . <br /> T StocktonICA at slit <br /> I <br /> A APPLICANTIBILLING NAME APPLICANT CONTACT MAM <br /> ' P <br /> ? OFIZS Remediation Services_ Corv. Robert P. Johnson <br /> I MAILING ADDRESS APPLICANT PNCsE 0 WITH-AREA CODE <br /> 1425 N. 928-1819 <br /> ' A STATE ZIP CODE JITPE of APPLICATION <br /> N CITY CLOSURE INSTALLATION, etc. <br /> T Sacramento � CA 45833 Closure <br /> TOTAL <br /> A <br /> C 1986 1987 1988 1989 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) a'S1DO.00 <br /> I 5 <br /> V <br /> E TANK FEE a S50.D0/7ANK (prior to January 1,1991) 1170/TANK (after January 1, 1991) <br /> F 9 Tanks = 1986 1987 1988 1919 1990 1991 •1992 1993 1994 1995 1996 <br /> A (cuttiply Y by fee for <br /> C each year applicable) S <br /> 1 <br /> L57ATE SURCHARGE = 556.00 each TANK (Due every 5 years) See Cal(farn(a 11 8 5 Code, Sect'l, 25287 <br /> 1 <br /> T d Tanks z $56.00 1;66 through 1990 1991 through 1996 <br /> Y (enter amo.nt and year) <br /> S <br /> P.E ANENT CLOSURE (Removal or Authorized Closure-in-Place) TANK I.D. :(s) <br /> C <br /> L CLOSURE FEF a $53.00 per hour_ (3 hours minimum per TANK) Tt 7ANK(s)--L_-_, X $159.00 S 158.04 <br /> 0 <br /> S <br /> U TE VCaARY CLOSURE (A one-time permit, for review-& inspections TANK I.D. S(s) <br /> R <br /> E TE.4PCRARY CLOSURE FEE a $150.00 each TANK 9 TANK(s) X $150.00 = f <br /> P PLA,, CHECK (Install. Plan Review i Construction Inspections) TANK I.D. 9(s) <br /> L <br /> A <br /> N PLN CHECK FEE - S53.00 per hour (8 hours minimum Fen Facility) 5424.00 minimum 5 <br /> R REPAIR TANK I.D. :{s) <br /> E <br /> P TANK REPAIR FEE = 553.00 per hour (3 hours minimtn/TANK) 9 TANK(s) X 5159.00 ■ i <br /> A <br /> A PIPING REFAIR REVIEW L CCYSTRUCTION a 553.00 per hour (3 hour minimtr per facility s 3T59,00) : <br /> EFE'E <br /> TIONS WNAuTHCRI:ED RELEASE EVALWATICH SAnPLiNG 1HSPECT1CM <br /> 3.60/hr F.f s 553.00/hr FEE a 153.00/hr <br /> 70TAL CWE S <br /> OFFICE USE ONLY <br /> ....._................_-..............---..................................... ............. ... AAAA.. . _ _AAAA ............. <br /> ra%:! -�-'s:a w are .s:i+.e:.:? ��- -. F.. .. -• - - -'-- :7���.•T_7=L.a S'7' J.,,.i.r.i <br /> . .z`,S 7 .� k -�C�•CLL v.'.I•�wi V :.'tGl: ;t:.7 I =_.. :1(At n... �-�:,�Sr- "r .. ei...rcJ rcw�i�. i <br /> i <br /> r <br /> _........--AAAA ....................... ._..................... ..........AAAA_.. .._............................. .. ..-............. <br /> _ ...... ... -AAAA. <br /> l+as=+r a=no 1R>M Mlri�ail=C-:aYu:.��..3.:aS,Sj-::I.:.:.���....�-.••• . �,. ...^......--AAAA:S�s��J�'4.::COLI ar��w waw wl/IMrrWM� 246 <br /> F <br /> -�u.r-1._T?,.,�t:v.«..11�,,:r�:.� - _...._....•-^---•- -••.�..-AAAA.�,....`.,�.r.... --�..^.'^^"r•.- <br />