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SAN JUA61UiN LUGAL HLALIM U101KlO. 1 <br /> j1kEIIEWOtllq STORAGE TANK PROGRM - IEE INK <br /> IFF <br /> CILITY/SITE NAME FACILITY ACT N+AIE '" <br /> Lawrence Livermore National Laboratory — Site 300 Connie DeGranger i1141 <br /> L STREET ADDRESS SITE NOW i ver" ARCA Comm ND <br /> 115 miles east of Livermore on Route 1; Bldg. 801 (415)422-5167 �/R1 Av <br /> Y CITY —- — STAT IIP CODE 1 of Tanks F1Q 1 f9 <br /> Tracy CA 94550 at Site 30 �I/�/Nj,Q <br /> AA APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P LLNL — Site 300 Connie DeGrange <br /> I MAILING ADDRESS -- APPLICANT PHONE 1 Mrr« ARCA COOL <br /> P.O. Box 808, L-255 (415)422-5167 <br /> K CITY STAT IIP CODE TYPE of APPLICATION <br /> T Livermore ICA 94550 a0""K, MrALLATION, Ere. closure <br /> FACILITY FEE = $100.00 each SITE ADDRESS per YEAR TOTAL <br /> C 1986 1987 1988 1989 <br /> T <br /> I $ <br /> V <br /> E TANK FEE = $50.00 each TANK <br /> F 1 Tanksx $50.00 1986 1987 1988 1989 — <br /> A�(multipiy_t-by fee for <br /> C each year applicable) 1 <br /> I <br /> L STATE SURCHARGE = $56.00 each TANK (see CA HEALTH It SAFETY CODE Sec 25287 for applicability) <br /> I <br /> 1 1 Tanks x $56.00 1986 1987 1988 1989 <br /> Y (enter ii665t and year) <br /> $ <br /> CPERMANENT CLOSURE (Removal or Closure-in-place) <br /> L <br /> 0 CLOSURE FEE = $90.00 each TANK 1 Tanks_ 1__ x (90.00 $ 90.00 <br /> S <br /> U -- <br /> R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br /> E <br /> TEMPORARY CLOSURE FEE = $80.00 each TANK 1 Tanks------ x $80.00 f <br /> �P PLAN CHECK (Installation or Repair) <br /> L <br /> A <br /> IN PLAN CHECK FEE = $30.00 each SUBMISSION/RESUBMISSION $ <br /> REPAIR !- <br /> - 1 Tanks x $110.00 f <br /> R TANK REPAIR FEE - $110.00 each TANK ___ <br /> A PIPING REPAIR./CLOSURE/REMOVAL (Fees are per hour, minimum one hour to be paid on plan submittal) <br /> 1 ---- <br /> R UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION INSPECTION SAMPLING INSPECTION <br /> (when applicable) (when applicable) (when applicable) <br /> FEE = 130.00/hrt i FEE = $35.00/hr FEE _ $35.00/hr $ <br /> TOTAL DUE is 90.00 <br /> OFFICE USE ONLY <br /> Is Sim., qM 511=1 mmllul a <br /> SWEEPS 1 COMP 1 LDC CODE DIST CODE AMOUNT DUE AMOUNT P.CVD CHECK i/CASH RCVD BY DATE RECEIVED PERMIT 1 <br /> ....__—............_.....--.------ <br /> c 1 <br />