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SAN JOAOULN COUNTY ENVt <br /> RONNENTAL HEALTH DEPARTMENT <br /> UNDERGROUND STORAGE TMK PROGRAM FEE WORKSHEET <br /> FACrsr NAME CONTACT NAME <br /> - . - . <br /> FACILITY S #WITH AREA CODE <br /> (: STA ZLP CODE #OF TANKS AT SITE <br /> CA nj <br /> - - APPLICANT BU_UNG NAME APPLICANT CONTACT NAME <br /> ELITE IVCONTRACTORS, INC_ CARRZ£ MILLER <br /> APPLtcANT t1IAtLINc ADDRESS APPLJCANT�ttoNt s wtrtt AREA CODE <br /> 2535 _WIGWAM DRIVE ( 209) .461-6337- <br /> C{'" STATE ZIP CODE CIRCLE WORK TO HE DONE. <br /> "S T OC C T ON CA'- 9 520 5 aosure Imta@ation Repair Retrofit <br /> ACTIVE FACILITY <br /> 1998 1999_ 2000 2001 2002 2003_ : . ._ <br /> S FEE iNCLiJDES FACILITY FEE:k I TANK - (sr70)z( al70).x( I - - <br /> S125.PER TAMC AFTER FIRST-TANK $ <br /> TANK PENALTY ASSESSED ' <br /> TANK SURCHARGE=$101 TAMC $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON ffVOUORY.IN A CUPA PROGRAIut=597.5CJ FACILITY <br /> PEIAtRENT CLOSU'KE ._or Pwnbt d Closwe mPlace --- <br /> ' <br /> TANK tD#t(s):. CLOSURE FEE=$2119 tTANK V TANKS X$279= <br /> RARY CLOSURE <br /> (Plats Review and lrr; ctio ) $ <br /> TANK ID.Ii(s): TEMPORARY CLOSURE FEE_$279:1 FACILITY - <br /> INS-TALLATION PLARCHECK <br /> (Ptah Check and Cors_shudon Inspections) <br /> TANK ID (s)= PLAN CHECK FEE-.5744%FACILfTY <br /> REPAIR PLAN CHECK <br /> TANK ID17 s) <br /> TANK.RETROFIT REPAIR FEE =$279/FACIUTY (use for mmlbrin4 egtipr It s�a buekets,tank suinps•miSc) $ <br /> PIPINGREPALR FEE =$279/FACILITY (use forpipMmder&Spei js ontaity t.ecL) <br /> F <br /> LEAKEOUS <br /> • 1 <br /> . . $ .i <br /> TRANSFER FEE = $21) <br /> - - <br /> TATION FEE : = S 93/HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE : = S 93/HOUR : $ t <br /> G INSPECTION FEE = S 931 HOUR ' <br /> - ALL FEES ARE BASED ON SHE 293 HOURLY RATE_TIME THAT D XaDS tfES PAID WILL BE BILLED"TO APPLJCANT_ <br /> OFFICE USE ONLY <br /> i <br /> ser4ZEREQUEST s FACAM ID AMOUNT <br /> SR _ <br />