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• 9 <br />SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICE! - ENVIRONMENTAL NEALTN OIVSION <br />UNDERGROUND STORAGE TANK PROGRAM - FEE UORC21WNT <br />S <br />FACILITY SITE NAME <br />FACILITY CONTACT NAME <br />1966 <br />0 <br />1980 <br />T <br />1990 <br />0 TANK(s) X $234.00 • <br />E <br />FACILITY &NAESS SITE PHONE 0 with AREA CODE <br />U <br />TEMPORARY CLOARE (Plan Review i Inspectlons) <br />CITY TAT! 21► CODE 0 of TANKS <br />A <br />C, 0 at SITE <br />P <br />E <br />P <br />APPLICAUJULLING NAME <br />APPLI T CONTACT OR <br />Ld <br />C <br />r (oC-�.a�''l� <br />C <br />MAILING AMMSS ,c1 <br />4 <br />� T NDN 0 HITN AREA CODE <br />J <br />N <br />T <br />CItT !TATE <br />: t <br />TYPE of APPLICATION <br />�C <br />(Closure, Installation, etc.) <br />TOTAL <br />PERMANENT CLOSURE (Removal or Authorlted Ctosure-in-►lace) <br />TANK I.O. 0(a) <br />1966 <br />1967 <br />1980 <br />1989 <br />1990 <br />0 TANK(s) X $234.00 • <br />S <br />ANNUAL /ACtlitY FEE (Prior to January 1, 1991) • (100.00 <br />U <br />TEMPORARY CLOARE (Plan Review i Inspectlons) <br />TANK I.D. R(a) <br />R <br />E <br />TEMPORARY CLOStMRE FEE a 570.00/hour (3 hours olnlm/FACILITY)+ <br />5 <br />A <br />'. <br />C <br />T <br />FACILITT PENALTY fit$ ASSESSED (If Applicable) <br />XXXX <br />)0= <br />S <br />1 <br />V <br />TANK FEE • 550.00/TANK (Prior to January 1,1991) 5170/TANK <br />(After January 1, 1991) <br />E <br />F <br />0 tanks a <br />cmul t 1ply %/ tom/ fes for <br />1966 <br />1987 <br />1 19011 1989 <br />1990 1991 1992 <br />199! <br />1994 <br />1995 <br />19% <br />_ <br />A <br />each year eppticebte) <br />C <br />I <br />TANK PENALTT FEES ASSESSED <br />XXXX <br />xxxlc <br />S <br />L <br />I <br />STATE SURCHARGE a 556.00 each TANK (Oue *very 5 treaty) Sae California N i S Cods, Section 25207 <br />T <br />T <br /># tanks it $56.00 <br />1966 through 1990 <br />1991 through 1996 <br />(Enter /axKnt end year) <br />S <br />C <br />PERMANENT CLOSURE (Removal or Authorlted Ctosure-in-►lace) <br />TANK I.O. 0(a) <br />L <br />0 <br />CLOSURE FEE • S718.00/hour (3 hours MinlwjWTANK) <br />0 TANK(s) X $234.00 • <br />S <br />S <br />U <br />TEMPORARY CLOARE (Plan Review i Inspectlons) <br />TANK I.D. R(a) <br />R <br />E <br />TEMPORARY CLOStMRE FEE a 570.00/hour (3 hours olnlm/FACILITY)+ <br />5234.00 Mlnlaft <br />S <br />P INSTALLATION PLAN CNECK (Plan Review i Construction inspsotloft) TANK I.D. #(a) <br />L <br />A <br />N PLAN CHECK FEE a ST11.00/hour (11 hours Mlnia wFACILItY) a 1624.00 Mtlnlam 5 <br />R <br />REPAIR FEE (Uorkptan Review A Cotrtructlon Inspictlona) <br />TANK I.D. 0(0 ©_ <br />E <br />TANK LINING REPAIR FEE a 5711.00/hour (3 hours minloto/TANK) <br />/ TANK(s) X 5234.00 • <br />5 <br />A <br />I <br />TANK RETROFit REPAIR Fit a STS-00/hour (3 hours win./FACILITY) • 5234.00 61nlaw <br />5 <br />R <br />►IPINO REPAIN fat a 678.00/hour (3 hour! •InImuw FACILitY) a 5234.00 minion <br />S <br />N TRANSFER Flt a 520.00 tINAUTNORI2ED RELEASE EVALUATION a S7e.00/hr <br />1 <br />s <br />C CONINAT411011 IN a 07E.00/hr IAMIPLIN4 INSPECTION FEE a 11710.00/hr <br />TOTAL DUE <br />FOR OFFICE USt ONLT <br />IN 23 032 (REVISED 3-1-931 Peas 11 <br />5 <br />S <br />