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SAN JOAQUIN CMXTY PUBLIC RF.ALTN SERVICE! - INVIROMMMIAL REALM DIVSION <br />UIMEAGROUNO STORAGE TANK PROGRAM - FEE VORKSREET <br />S <br />FACILITY SiTE PW FACILITY CONTACT NAMR <br />T <br />lsC <br />E <br />FACILITY ADDRESS <br />$175 PRONE 0 with AREA CGDE <br />R <br />1 — <br />Aat <br />CITY <br />STATE <br />I ti► CODE 0 of TANK! <br />SITE <br />t 1?1519- zzd <br />P <br />P <br />APPLICANT/$ILL ING NAME <br />APPLICANT CONTACT NAME <br />L° <br />I <br />C <br />A <br />NAILING ADDRESS r <br />APPLE T P N VITO AREA CODE <br />( <br />N <br />— <br />T <br />CftY STATE <br />ZI/ CODE TYPE of APPLICATION`., <br />(Cloture, Installation, <br />.) <br />. <br />TOTAL <br />1966 140? Me 19119 1990 <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) • !100.00 <br />1)0= <br />C <br />T <br />FACILITY PENALTY FEES ASSESSED (It Apptlesble) <br />XXXX <br />! <br />t <br />V <br />TANK FEE • $50.00/TANK (Prior to Ja uery 1,1991) <br />$170/TANK (Atter Jonuary 1, 1991) <br />E <br />11-101 <br />F <br />R tw*o ® 1966 190? 1400'1989 1990 1991 1942 1993 1944 1995 19% <br />caultiply foo For <br />A <br />each year sipticebte) <br />: <br />C <br />I <br />TANK PENALTY FEES ASSESSEDXXXX XXXX <br />$ <br />L <br />I <br />STATE SURCRARGE • 156.00 etch TANK (Due every 5 years) Soo <br />California N t S Cade, Section 2920? <br />T <br />r <br />0 TV*$ R 556.00 1966 through 1490 <br />1941 through 1996 <br />(Inter t end boor) <br />1 Ig'", ."'jj <br />I <br />C <br />PE Nt CLOSURE (Removal or Authorltd r.losure-In-Place) <br />- ...! <br />TANK I.D. /(a) <br />L <br />0 <br />CLOSM FEE t $78.00/hour (3 hour$ mintaua/TANK) <br />a TANK(,) X SZ34.00 • <br />: <br />U <br />TWORART Cl (Pt$n Roviow i t tl )' <br />TANK i.D. R(a) <br />R <br />I <br />MWORARY CLOOME FEE * $78.00/hour I3 hors Mini FACILITY) o W4.00 011MM A <br />$ <br />P <br />INSTALLAtiON PLAN CNECt (Plan Rovi$M t Construction Inspectional TANK I.D. 10(a) <br />L <br />A <br />N <br />PLAN CNECC FEE a 08.00/hour d hours minlaWFACiLItY) <br />a 5624.00 minim A <br />! <br />R <br />REPAIR FEE (Uorkpl$n Review R Constructlen Inspections) <br />LANK I.D. Ka) ` -' <br />E <br />TANK LiNING REPAIR FEE • S78.00/hour (3 haus mini AMI) <br />6 TANK(9) X !234.00 • <br />! <br />A <br />I <br />TANK RETROFIT REPAIR FEE a SM-00/her (3 hours min./FACILITY) • S234.00 *initis$ <br />! <br />R <br />PiPING REPAIR Fill • 578.00/hour (3 minImWFACILitY) <br />• $234.00 *mita <br />S <br />N <br />TRANSFER FEE a 520.00 UNAUTNORIZIO RELEASE IVALUATIDN • l78.00/hr <br />S <br />t <br />S <br />C <br />CONSULTATION FEE • 578.00/hr SUIPLING INSPECtION Fill <br />• S78.00/hr <br />$ <br />TOTAL DUE <br />! Z <br />FOR OFFICE USE ONLY <br />IN al 032 (REVISED 3-1-931 Peso 11 <br />