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EH 23 032 [REVISED 3-1-931 Pam 11 <br />SAN JOAQUIN CowLIC HEALTH SERVICES - ENVIRONMENTAL HEALT ION <br />UNDER STORAGE TANK T <br />S <br />I <br />FACILITY SITE NAME FACILITY CONTACT NAME <br />ANASTASIO'S AM/PM MINI MART Jack Ana ETLHEALTH <br />T <br />E <br />FACILITY ADDRESS SITE PHONE # with AREA`�`'¢� <br />& <br />3425 Tracy Blvd (209) 835-1 <br />CITY STATE ZIP CODE it of TANKS <br />A <br />Tracy CA 95376 at SITE <br />I <br />P <br />APPLICANTAILLING NAME <br />APPLICANT CONTACT NAME <br />ANASTASIO'S AM/PM MINI MART <br />Chester Bennett <br />I <br />C <br />MAILING ADDRESS c/o TAIT & ASSOCIATES, INC. <br />APPLICANT PHONE 0 WITH AREA CODE <br />A2880 <br />Sunrise Blvd, #206 <br />(916) 635-2444 <br />N <br />T <br />TYP <br />CITY STATE ZIP CODE TYPE of APPLICATION <br />I <br />Rancho Cordova CA 95742 e, Installation, at Closure <br />TOTAL <br />1487 19M 1989 1990 <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br />A <br />I <br />S <br />C <br />T <br />FACILITY PENALTY FEES ASSESSED (If Applicable) <br />S <br />I <br />V <br />TANK FEE = S50.00/TANK (Prior to January 1,1991) S170/Tr(After January 1, 1991) <br />E <br /># Tanks $ 1986 1987 1988 1984 1940 1991 1992 1993 1994 1995 1996 <br />F <br />(multiply # by fee for <br />A <br />each year appticabte) <br />$ <br />C <br />I <br />TANK PENALTY FEES ASSESSED )0= <br />S <br />L <br />I <br />STATE SURCHARGE = S56.00 each TANK ( 5 years) See California H & S Cock, Section 25287 <br />T <br />Y <br /># Tanks x 556.00 <br />1986 through 1940 1991 through 1996 <br />(Enter amount and year) <br />S <br />C <br />PERMANENT CLOSURE CRemovat or Authorized Ctosure-in-Place) TANK I.O. #(s) <br />L <br />0 <br />CLOSURE FEE = $78.00/hour C3 hams minimun/TANK) 0 TANK(s) X 5234.00 = <br />S <br />S <br />U <br />TEMPORARY CL (Plan Review & I tion) TANK I.O. #(s) <br />R <br />E <br />TEMPORARY CLOSURE FEE a 578.00/ham (3 hours minimua/FACILITY) _$234.00 minimum <br />S <br />P <br />INSTALLATION PLAN CHECK (Ptah Review & Construction InsImti ) TANK t.0. #(s) <br />L <br />A <br />N <br />PLAN CHECK FEE = $78.00/ham C8 hours minimrm/FACILITY) = 5624.00 minimus.f <br />R <br />REPAIR FEE (Workplan Review & Construction I tions) TANK I.O. Us) <br />E <br />P <br />TANK LINING REPAIR FEE a 578.00/hour C3 hours mini ANK) # TANKCs) X 5234.00 = <br />S <br />A <br />I <br />TANK RETROFIT REPAIR FEE a S78.00/hour C3 hours min./FACILITY) ■ S234.00 minima <br />S <br />R <br />PIPtNG REPAIR FEE = S78.00/hour C3 hours mini FACILITY) = S234.00 minimum <br />S <br />M <br />TRANSFER FEE = S20.00 UNAUTHORIZED RELEASE EVALUATION = $78.00/hr <br />S <br />I <br />S <br />C <br />CONSULTATION FEE a S78.00/hr SAMPLING INSPECTION FEE a S78.00/hr <br />S <br />TOTAL DINE <br />S <br />�/ <br />FOR OFFICE USE ONLY / / <br />EH 23 032 [REVISED 3-1-931 Pam 11 <br />