Laserfiche WebLink
SAX JCACUIN C:U'ATY PUBLIC HEALTH SERVICES - EUVIROU ENTAL HEAL7�DIVSICN <br />=ER STC62AG2 TANK A11 PRCG - FEE 4UCRr H= 1k <br />S1 <br />FACILITY SITE NAME qW <br />FACILITY CCNTACR NAME <br />=, <br />Bldg. 647 <br />Peter A. Kalush <br />E' <br />FACILITY ADDRESS <br />SITE ?HONE $ with AREA CCOE <br />Sharpe Depot <br />1209-982-2094 <br />Al <br />C:'Y <br />STAM <br />"P CODE ;* of TANKS <br />P. <br />Lathrop <br />, CA 195296 <br />at SITE <br />PI <br />APPLICANT/3ILLING NAME <br />APPLICANT CCHTACT NAME <br />L�Qil <br />v i <br />I <br />---Keith <br />C: <br />4AILING ADDRESS <br />APPL;CANT PHONE �' WITH'AREA CCOE <br />Ai <br />P.O. Box 950 <br />209-754-1808 . <br />Tj='T" <br />San Andreas <br />STATE! <br />CA ; <br />7'P CQ7 <br />95245 <br />TYPE of APPl;C1.TION <br />(Closure, installation, etc.) Removal <br />TOTAL <br />'P-;XANENT CLOSURE Removal -ed C - L It4s--— � <br />� , ... __.. ( or Autacr�_ tosure in -Place) i. <br />SI .._rSURE FEE _ :78.00/hour (3 hours minim n/TANK) ' T TANK(s)� X SZ34.00 = S234.00 <br />Ui Tci!PCRARY CLCS'JRE (Plan Review a :nspec:ions) j TANK I.J. :(s) <br />'_X?CRARY CLOSURE FEE = S78.00/hour (a lours minirz.m/FAC;LITY) i 5234.00 ,inimrt 5 <br />?! :HSTALLAT:CN PLAN CHECK (?(an Review i :onstruction Inspec:ions)i TANK I.J. '(s) <br />L <br />Ai <br />NI 21 -Ag CHECK .CE = S78.00/hour (8 hours mini==/FAC:LITY) _ :624.00 minim n S <br />Rt 2E?AIR "ZE (Workplan Review I Corstrs:c: on Inspections) LANK I.O. (s) <br />7ANK LINING REPAIR FEE = S78.00/hour (3 yours ninimsn/TANK) ( + TANK(s) X 5234.00 = S <br />IA <br />:1 TANK RETROFIT REPAIR FE_ = S78.00/hour 1,3 hours min./FAC;LITY) 5234.00 minimun S <br />z, <br />?I?ING RE?AIR FE_ = S78.00/hour (3 ho,u-s %inim m/FAC:LITY) 5234.00 minimum S <br />M TRANSFER FEB = SZO.00 ( UNAUTHORIZED .RELEASE EVALUATION = S78.00/hr I S <br />i. <br />S. <br />Cf CCUSULTATICH FEE = $78.00/hr I SAMPLING INSPECTION FE_ = S78.00/hr S <br />TOTAL DUE S <br />EH 33 032 (REVISED 4-29-94) Page 11 <br />