COMPLIANCE INFO_1992-2005 - Laserfiche WebLink

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A APPLICANTjAILLING NAME P STOKLEY CONSTRUCTION P MAILING ADDRESS C P.O. BOX 1008 A T CITY TRACY, CA. Ll APPLi T;TACT 1 U y �T3p � LTH AREA CODE STATE2IP CODE TYPE of APPLICATION CA. 5378-100 CLOSURE, INSTALLATION, etc. INS PERMANENT CLOSURE (Removat or Authorized Closure -in -Plaice) TOTAL L CLOSURE FEE _ $53.00 per hour (3 hours minimum per TANK) A $ 1986 1987 1 1988 1 1989 1990 T ANNUAL FACILITY FEE (Prior to January 1, 1991) _ $100.00 $ I E\ TEMPORARY CLOSURE FEE _ $150.00 each TANK E TANK FEE _ $50.00/TANK (prior to January 1,1991) $170/TANK (after January 1, 1991) F 0 Tanks = 1986 1987 (988 1989 1990 1991 1992 1993 1994 1995 1996 A (mtuttiply W -FY -foe for $ C each year applicable) L STATE SURCHARGE a $56.00 each TANK (Dux every 5 years) See Catifornis H & S Code, Section 25287 T # Tanks x $56.00 1986 through 1990 1991 through 1996 Y (enter amount and year) $ 56. PERMANENT CLOSURE (Removat or Authorized Closure -in -Plaice) TANK I.D. #(s) L CLOSURE FEE _ $53.00 per hour (3 hours minimum per TANK) # TANK(s) X $159.00 = $ 0 U, TEMPORARY CLOSURE (A one-time permit, for review/inspections) TANK I.D. #(a) E\ TEMPORARY CLOSURE FEE _ $150.00 each TANK # TANK(s) X $150.00 = S P PLAN CHECK (Install. Pian Review & Construction Inspections) TANK I.D. #(s) L N PLAN CHECK FEE - $53.00 per hour (8 hours minimum per Facility) _ $424.00 minimum =--424-.0 R REPAIR FEE (workplan review & construction inspections) TANK I.D. #(s) R TANK REPAIR FEE _ $53.00 per hour (3 hours minimum/TANK) # TANK(s) X $159.00 = f A R PIPING REPAIR FEE _ $53.00 per hour (3 hour minimum per facility = $159.00) $ M TRANSFER FEE = $20.00 UNAUTHORIZED RELEASE EVALUATION = $53.00/hr $ I Cl CONSULTATION FEE = $53.00/hr SAMPLING INSPECTION FEE _ $53.OA/hrF - TOTAL DUE /A $650 .00 EH 23 032 (REV 4/8/91) ft L