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SAN JOACUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVSION <br />UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSNEET <br />S <br />FACILITY SITE NAME <br />FACILITY CONTACT NAME <br />T <br />DDRW- Sharpe Facility <br />George Stock <br />E <br />a <br />FACILITY ADDRESS 700 E. Roth Rd. <br />_ <br />SITE PHONE N with AREA CODE <br />(208.)832-9194 <br />A <br />F--- <br />CITY Lathrop, <br />--- — <br />CARTE <br />9533ZIP 0 <br />atoSITENKS Uk. <br />P <br />APPLICANT/81LLING NAME <br />APPLICANT CONTACT NAME <br />L <br />Jim Thorpe Oil Inc <br />Richard Thorpe <br />A <br />MAILING ADDRESS P.O. BOX 357 <br />APPLICANT PHONE 0 WITH AREA CODE ( 09)462-4581 <br />N <br />-- <br />A <br />C <br />T <br />CITY Lodi <br />CRATE <br />ZIP CODE <br />TYPE of APPLICATION <br />xxxx <br />'125241-032Z(Closure, <br />Xxxx <br />Installation, etc.) <br />TOTAL <br />C <br />PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) <br />TANK I.D. #0 LILL <br />L <br />-- - - ----------.-- ---------------- <br />P TANK LINING REPAIR FEE _ :78.00/hour 0 hours minima!,/TANK) M <br />0 <br />1986 <br />1987 <br />1988 <br />1989 1990 <br />.00 <br />U <br />ANNUAL FACILITY FEE (Prior to Jarniary 1, 1991) = $100.00 <br />TANK I.D. 9(s) <br />R <br />--- <br />PIPING REPAIR FEE _ $78.00/hour (3 hours minimum/FACILITY) = <br />E <br />TEMPORARY CLOSURE FEE a $78.00/hour (3 hours minimum/FACILITY) <br />XXXX <br />XXXX <br />I xxxx <br />N tRANSFER FEE - $20.00 UNAUTHORIZED RELEASE EVALUATION <br />f <br />A <br />C <br />t <br />I1 <br />— <br />FACILITY PENALTY FEES ASSESSED (If Applicable) <br />xxxx <br />XXXX <br />Xxxx <br />f <br />TANK FEE _ 150.00/TANK <br />(Prior <br />to January 1,1991) <br />9170/TANK <br />(After <br />January 1, 1991) <br />E <br />li Tanks - <br />1986 <br />1987 <br />1988 <br />1989 <br />1990 1991 1992 <br />1993 <br />1494 <br />1995 1996 <br />F <br />(mu(tiply A by`fee for <br />— <br />XXXX <br />xxxx <br />xxxx <br />f <br />A <br />C <br />each year applicable) <br />— <br />TANK PENALTY FEES ASSESSED <br />XXXX <br />xxxx <br />xxxx <br />f <br />1 <br />1 <br />STATE SURCIIARGE _ $56.00 each TANK <br />(Due every 5 <br />years) <br />See California H & S Code, <br />Section 25287 <br />Y <br />A Tanks x $56.00 <br />1986 through <br />1990 <br />1991 <br />through <br />1996 <br />(Enter amount and year) <br />s <br />C <br />PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) <br />TANK I.D. #0 LILL <br />L <br />-- - - ----------.-- ---------------- <br />P TANK LINING REPAIR FEE _ :78.00/hour 0 hours minima!,/TANK) M <br />0 <br />Ci-OSURE FEE - $78.00/hour (3 hours minimum/TANK) <br />N TANK(s)--L_ X $234.00 :234 <br />S- <br />-- - - ----- -- — - <br />.00 <br />U <br />TEMPORARY CLOSURE (Pion Review & Inspections) <br />TANK I.D. 9(s) <br />R <br />--- <br />PIPING REPAIR FEE _ $78.00/hour (3 hours minimum/FACILITY) = <br />E <br />TEMPORARY CLOSURE FEE a $78.00/hour (3 hours minimum/FACILITY) <br />$234.00 minimum i <br />P <br />INSTALLATION PLAN CIIECK (Pian Review A Construction Inspections) TANK I.D. N(s) <br />L <br />+n n . n +!! ! ! t+ ! +tt +n - — <br />A <br />P TANK LINING REPAIR FEE _ :78.00/hour 0 hours minima!,/TANK) M <br />YANK:3) X 1234.00 = <br />N <br />PLAN CIIF,CK FEE - $78.00/hour (8 hours minimum/FACILITY) _ $624.00 minimum <br />f <br />R REPAIR FEE (Workplan Review & Construction Inspections) TANK I.D. p(s) <br />n! . + b'"! :nmm�nn <br />E -- <br />+n n . n +!! ! ! t+ ! +tt +n - — <br />+it a u+ m mn nu nnuu n <br />P TANK LINING REPAIR FEE _ :78.00/hour 0 hours minima!,/TANK) M <br />YANK:3) X 1234.00 = <br />f <br />A ----- <br />+lo�+mt:n}i'{ nit t!ti!t"(t� <br />LN. 3iN!!!II !!. { t <br />i��iii�i!"i!mt <br />1 TANK RETROFIT REPAIR FEE _ $78.00/hour (3 hours min./FACILITY) - <br />$234.00 minimum <br />f <br />R <br />PIPING REPAIR FEE _ $78.00/hour (3 hours minimum/FACILITY) = <br />$234.00 minimum <br />f <br />N tRANSFER FEE - $20.00 UNAUTHORIZED RELEASE EVALUATION <br />a $78.00/hr <br />$ <br />t <br />CI CONSULTATION FEE s $78.00/hr ' 0 SAMPLING INSPECTION FEE m $78.00/hr f <br />TOTAL OM L <br />f �n 91111! r: {N{ !Mii5i <br />n! . + b'"! :nmm�nn <br />nm renMIN+m !u!!+t m <br />+n n . n +!! ! ! t+ ! +tt +n - — <br />+it a u+ m mn nu nnuu n <br />.n+m++ n+ a+mmn +m+ , <br />I+ <br />!!}} .. <br />ntn !PH". !n .n 15n!nr.!! <br />!� !+ 3" n!} <br />ng}, !.(ta .... !!! ,!mti!!!t!il <br />t ! ! !� ! n !�! <br />Til i i ! !! !! <br />.. ! !! !I �{ !itl!tt!I� !!.. <br />!!€!:! +l+u!!{etnn€nn�ma�.!lpino. <br />tt!N{ iLt !!.!. �!tf!(fl !+!! !t!!! !...t!.(f!!! <br />+lo�+mt:n}i'{ nit t!ti!t"(t� <br />LN. 3iN!!!II !!. { t <br />i��iii�i!"i!mt <br />EN 23 032 (REVISED 4-29-94) page 11 <br />