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SAN JCIU I N LOCAL HEALTH D I STIOCT <br />UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br />A FACILITY/SITE NAME FACILITY CONTACT NAME <br />C MEI, BOKIDES PETROLEUM, INC. CARDLOCK NO. 2 MEL BOKIDES (209) 943-2011 <br />STREET ADDRESS 983 MOFFAT BLVD. SITE PHONE 1 WITH A0194 COOK <br />T-� <br />Y CITY I CT�TCI <br />NTECA <br />A APPLICANT/BILLING NAME — <br />P <br />P PRECISION INDUSTRIES, INC. <br />L....,._._ _._ <br />I MAILING ADDRESS <br />C 1041 S. PERSHING AVENUE <br />A <br />N CITY <br />T STOCIMN <br />IIP CODE_ 1,1tof,Tank <br />sSte 4_OUT/ 2—IN <br />APPLICANT CONTACT NAME <br />KEN VANDEGRIFT <br />APPLICANT PHONE 1 MITH ARRA COOK <br />_ (209) 462_—_9911 <br />STATE ItVCODE— TYPE of APPLICATION <br />CA.I 95206 w TCLOOURK, INSTALLATION, RTC. <br />C <br />PERMANENT CLOSURE (Reeoval or Closure -in-place) <br />0 CLOSURE FEE a $50.00 each TANK <br />P. TEMPORARY CLOSURE (Only allowed one tine for up to two years) <br />ITEMPORARY CLOSURE FEE : $80.00 each TANK <br />P PLAN CHECK (Installation or Repair) INSTALLATION <br />A <br />M PLAN CHECK FEE _ $30.00 each SUBMISSION/RESUDMISS ION <br />1 Tanks --4... x 130.00 Is 360.00 <br />1 Tanks x $80,00 <br />REPAIR <br />R TANK REPAIR FEE _ $110.00 each TANK <br />E _...._.___...__.._.....__.... <br />Tank s <br />x 0 <br />$1 <br />_ f t 1.00 <br />_..._..._..J...t <br />P_ <br />^~.' <br />A PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimus one <br />hour to be <br />paid on plan subsittal) <br />R UNAUTHORIZED RELEASE EVALUATION <br />(when applicable) <br />CONSTRUCTION INSPECTION <br />SAMPLING INSPECTION <br />(when applicable) <br />(when <br />applicable) <br />FEE _ (30.00/hr <br />_ <br />FEE = $35.00/hrl <br />FEE : <br />$35.00/hrl <br />TOTAL DUE <br />OFFICE ISE OILY <br />I <br />1 30.00 <br />f <br />f <br />1 702.00 <br />SWEEPS 1 _a COMP 1_1LOCCODEIDIST CODEI AMOUNT DUE I AMOUNT RCVD I CIIECK WASH I «RIND DY I DATE P.ECEIVEO I PERMIT 1 <br />