COMPLIANCE INFO_1995-1999 - Laserfiche WebLink

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SAN JOAQUIN PUBLIC HEALTH SERVICES - ENVIRONMENTAL N DIVSION UNDERGROUND STORAGE TANK PROGRAM - FEE WORXSHEET S C CONSULTATION FEE = 578.00/hr SAMPLING INSPECTION FEE _ $78.00/hr S TOTAL $ 00 FOR OFFICE USE ONLY _.........._.......E i".»''�iS! „^':bT .:,',i�iii!nisliF.if'�' :-'s"o•»..g r.• i ate: tae' aif .s:i S'? c ,ffi ir.:_: ,»a'—�^ •:E 3 uia ies":ieiuiiiiii»:'i' u' �Sdorm e... _.; ... .:mac ..ue�% • . . SWEEPS # COMPUTER # LOC CODE DIST CODE AMOUNT RECEIVED I CHECK #!CASH RECEIVED BY GATE RECEIVED =u ;ol n12 (RFVTSFD 1-12-98) 1986 1987 , 1988 11989 1990 ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 XXXX XXXX I XXXX XXXX XXXX S XXXXXXXX A C T FACILITY PENALTY FEES ASSESSED (If Applicable) XXXX XXXX XXXX XXXX XXXX S XXXXXXXX I V TANK FEE = S50.00/TANK (Prior to January 1,1991) 5170/TANK (After January 1, 1991) E 9 Tanks = 1988 1989 1990 1991 1992 1993 1994 1995 11996 1997 1998 F (multiply # by fee for S m A� each year applicable) XXXX XXXX XXXX XXXX XXXX C I TANK PENALTY FEES ASSESSED XXXX XXXX XXXX XXXX %XXX II S L I STATE SURCHARGE FOR NEN FACILITIES ONLY=$18.50 $ T Y # Tanks x $8.00 1988 through 1993 (556) 1943 through 1997 ($56) 1998 SURCHARGE FOR 1998 XXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXX%X S C) PERMANENT CLOSURE (Removal or Authorized Ctosure-in-Place) I TANK I.D. #(s) # TANK(s)- X S234.00 = S 0CLOSURE FEE = S78.00/hour (3 hours minimum/TANK) _ S U TEMPORARY CLOSURE (Plan Review & Inspections) TANK I.D. #Cs) R E TEMPORARY CLOSURE FEE = $78.00/hour (3 hours minimum/FACILITY) $234.00 minimum S P INSTALLATION PLAN CHECK (Plan Review & Construction Inspections) TANK I.D. #(s) L A N PLAN CHECK FEE = S78.00/hour (8 hours minimm/FACILITY) = $624.00 minimum S R REPAIR FEE (Workplan Review & Construction Inspections) I TANK I.D. #(s) E P TANK LINING REPAIR FEE = $78.00/hour (3 hours minim m/TANK) # 7ANK(s) X $234.00 = S A I TANK RETROFIT REPAIR FEE = $78.00/hour (3 hours min./FACILITY) = $234.00 minimum S R PIPING REPAIR FEE = S78.00/hour (3 hours minimum/FACILITY) = $234.00 minimum S M TRANSFER FEE = $20.00 UNAUTHORIZED RELEASE EVALUATION = S78.00/hr I S I 1 S C CONSULTATION FEE = 578.00/hr SAMPLING INSPECTION FEE _ $78.00/hr S TOTAL $ 00 FOR OFFICE USE ONLY _.........._.......E i".»''�iS! „^':bT .:,',i�iii!nisliF.if'�' :-'s"o•»..g r.• i ate: tae' aif .s:i S'? c ,ffi ir.:_: ,»a'—�^ •:E 3 uia ies":ieiuiiiiii»:'i' u' �Sdorm e... _.; ... .:mac ..ue�% • . . SWEEPS # COMPUTER # LOC CODE DIST CODE AMOUNT RECEIVED I CHECK #!CASH RECEIVED BY GATE RECEIVED =u ;ol n12 (RFVTSFD 1-12-98)