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JCACUIH COUNTY FIJSLIC HEALTH SERVICES • <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> A <br /> LAWRENCE LIVERMORE NATIONAL LABORATORIES BOB SETTLE <br /> C <br /> I FACILITY ADDRESS SITE PHONE # with AREA CODE <br /> L <br /> OO CORRAL HOLLOW ROAD -5386 <br /> 0) 423 <br /> T CITY STATE ZIP CODE # of TANKS <br /> Y TRACY CA 95376 at SITE 2 <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P <br /> P HESS & HESS CONSTRUCTION, INC . BILL IRONS <br /> I MAILING ADDRESS APPLICANT PHONE # NITH AREA CODE <br /> A 3819 DUCK CREEK DRIVE942-1818 <br /> N CITY [SeTATE ZIP CCOE TYPE of APPLICATION <br /> T ISTOCKTON 95215 CLOSURE. INSTALLATION, a c. <br /> TOTAL <br /> A <br /> C 1986 1987 1988 1989 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) = S100.00 I <br /> I S <br /> V <br /> E I TANK FEE = 550.00/TANK (prior to January 1,1991) 5170/TANK (after January 1, 1991) <br /> F # Tanks = 1986 1987 1988 1989 119901991 1992 1993 1994 1995 1996 <br /> A (rtultiply # by fee for <br /> C each year applicable) s <br /> I <br /> L STATESURCHARGE = S56.00 each TANK (Due every 5 years) See California•H & S Code, Section 25287 <br /> I <br /> E(eter <br /> anks x $56.00 1986 through 1990 1991 through 1996 <br /> T amount and year <br /> S <br /> PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) TANK I.D. #(s) <br /> C <br /> L CLOSURE FEE = 553.00 per hour (3 hours minimum per TANK) # TANK(s)2_ X 5159.00 = <br /> 0 s 318 .00 <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for review/inspections) TANK I.D. "(s) <br /> R <br /> E I TE.4PCRARY CLOSURE FEE = $150.00 each TANK # TANK(s) X $150.00 = 5 <br /> P PLAN CHECK (Install. Plan Review & Construction Inspections) TANK I.D. #(s) <br /> L <br /> A <br /> N PLAN CHECK FEE - $53.00 per hour (8 hours miniazm per Facility) = S424.00 minimun S <br /> R REPAIR FEE (workplan review & construction inspections) TANK I.D. #(s) <br /> E <br /> P TANK REPAIR FEE = $53.00 per hour (3 hours minimum/TANK) # TANK(s) X $159.00 = s <br /> A <br /> I <br /> R PIPING REPAIR FEE = $53.00 per hour (3 hour minimum per facility = S159.00) s <br /> M CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> I <br /> S <br /> C FEE = S53.00/hr FEE = 553.00/hr FEE = 5 53.00/hr <br /> TOTAL DUE 5 318 .00 <br /> OFFICE USE ONLY <br /> MAWawn...A.w.v..xr.•.a.ze.�s..Ye.Is...I...,.r.arM....%..a....•r..xa.x....xr»w.asX....I...I+e.ne...xsv.w�..v....»w�....a»ne.r....s..i.....»sl....a»a.x....xr»..•xs».w f..a....ar Y..Y....x..a. <br /> 'quMcrS "ra"p2'R` L�OC '�rt3� L ' 1( + `Crl�a°` l�. ilo�"'va` C `c '�ae`wa` Sii'c2_GEVff-axiJrm <br /> "w`ryc <br /> EH 23 032 (REV 1/10/91) ft Pace 11 <br />