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SAN JOAQUIN COUNTYOBLIC HEALTH SERVICES-ENVIRONM&AL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br /> S FACILITY SITE NAME FACILITY CONTACT NAME <br /> I Lawrence Livermore National Laboratory C. Susi Jackson <br /> (LLNL) <br /> T FACILITY ADDRESS SITE PHONE#with AREA CODE <br /> E Corral Hollow Road (510)423-6577 <br /> & CITY STATE I ZIP CODE #OF TANKS at SITE <br /> A Tracy CA 95376 1 for Building 834 <br /> P APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P LLNL C. Susi Jackson <br /> L MAILING ADDRESS APPLICANT PHONE# WITH AREA CODE <br /> I 7000 East Ave.,P.O.Box 808 (510)423-6577 <br /> C CITY STATE ZIP CODE TYPE OF APPLICATION(Closure,Installation,etc.) <br /> A <br /> N Livermore CA 94550 Tank closure <br /> T <br /> TOTAL <br /> A ANNUAL FACILITY FEE(Prior to 1986 1987 1988 1989 1990 <br /> C January 1,1991) =$100.00 <br /> T $ <br /> I <br /> V FACILITY PENALTY FEES ASSESSED xxxx xxxx $ <br /> E (if applicable) <br /> TANK FEE=$50.00/TANK(Prior to January 1,1991) 170/TANK <br /> After January 1,1991) <br /> F #Tanks = 1986 1987 1988 1989 1990 1991 1992 1 1993 1994 1995 1996 <br /> A (multiply #by fee <br /> for <br /> C each year $ <br /> 1 applicable <br /> L TANK PENALTY I )= I xxx I I 1 1 $ <br /> 1 FEES ASSESSED <br /> T STATE SURCHARGE=$56 each TANK(Due every 5 years)See California H&S Code,Section 25287 <br /> Y <br /> #Tanks= x$56.00(enter amount and 1986 through 1990 1991 through 1996 <br /> year) <br /> C PERMANENT CLOSURE(Removal or Authorized Closure- I TANK <br /> L in-Place) I.D.#(s)---------------------------- <br /> O CLOSURE FEE-$78.00/hour Q hours TANK I.D. #(s)_1 x$234.00= $ 234.00 IJU l Da q 3 <br /> S minimum/TANK) <br /> U TEMPORARY CLOSURE (Plan Review&Inspections) TANK I.D. <br /> IE <br /> #(s)---------------------- - <br /> TEMPORARY CLOSURE FEE=$78.00/hour #TANK(s)_x$234.00= $ <br /> (3 hours minimum/TANK) <br /> P INSTALLATION PLAN CHECK(Plan Review& TANK I.D. <br /> L Construction Inspections) I #(s)------------- ---__--_--- <br /> A PLAN CHECK FEE-$78.00/hour(8 hours minimum/Facility)=$624.00 minimum $ <br /> N <br /> R REPAIR FEE(Workplan Review&Construction TANK I.D. <br /> E Inspections) #(s)--------------- ___- <br /> P TANK LINING REPAIR FEE=$78.00/hour(3 hours TANK I.D. #(s) - x $ <br /> A minimum/TANK) $234.00= <br /> I TANK RETROFIT REPAIR FEE=$78/hour(3 hours minimum/FACILITY)=$234 minimum $ <br /> R <br /> PIPING REPAIR FEE=$78.00/hour(3 hour minimum/FACILITY)=$234.00 minimum $ <br /> CLOSURE PLAN: 834-D1U1 <br />