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17 <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> UNDERGMD SIORAGE TANK PROSRA,M - FEE VORKSHEET <br /> F F911.110SITE WE FACILITY CONTACT NAME <br /> A <br /> C Port of Stockton Aldo Freggiaro <br /> STREET A01RESS 2201 W, Washington SITE PHONE I (with Area Code) <br /> — <br /> Y CITY Stockton. STATE 111' CODE I of TANK'S <br /> CA lit Site <br /> A APPLICANTIBILLING NAME APPLICANT CONTACT NAAE <br /> P Port of Stockton Aldo Freggiaro <br /> L <br /> I NAILING ADDRESS P 0. Box 2 Dfi9 APPLICANT PHONE I (with Area Cade) <br /> C 209 945-0246 <br /> A i e/ o� e-excava on <br /> M LITY STATE IIP t:DDI TYPE of APPiiCA1T0)i <br /> T Stockton. CA iclasure, Installation, etc.) wo:-k plan <br /> FACILITY FEE = 1100.00 each SITE ADDRESS per YEAR TOTAL <br /> A <br /> C 1986 1987 1988 1989 <br /> T <br /> `. . V % <br /> E TANK FEE = 450.00 each TANK <br /> F 1 Tanks a 156.00 1986 1981 (988 1°93 <br /> A (muItiply-I-by fee for <br /> C tach year applicable) 1 <br /> L STATE SURCHARGE = 156.00 each TANK tree CA HEALTH 1 SAFETY CODE Sec 25,197 for applicability) <br /> 1 <br /> T I Tatils_--__ 156.00 1986 1987 1988 1989 <br /> Y tenter :noun! and year) <br /> f <br /> __':C PERMANERT CLOSURE (Removal or Closure-in-place) <br /> L --- <br /> 0 CLOSURE FEE 190.00 each TANK I Tanks _ x 140.00 1 <br /> S <br /> U <br /> R TEMPORARY CLOSUPE (Only allowed one time for up to two years) <br /> E <br /> TEAPORARY CL05URE FEE = 180.00 each TANK I larks i 180.00 6 <br /> P PLAN CHECK (Installation or Repair) <br /> L <br /> A <br /> —,,A PLAN CHECK FEE = 130.00 each SUBMISSIOHIRESUBMISSION 1 <br /> REPAIR <br /> R <br /> E TANK REPAIR FEE _ %110.00 each TANK 1 Tanis t 1110.00 i <br /> P - <br /> A <br /> I PIPING REPAIRICLOSUREIREMOi1AL (Fees are per hour, minamum one hour to be paid on plan submittal) <br /> R <br /> UNAUTHORIZED RELEASE EVALUATION CONSTRUC116k Site/Sai' SAMPLING <br /> (when applicable) INSPECTIO' r - xcavafio INSPECTION <br /> FEE -- 130.001hr FEE = 135.00/hrl 35.00 FEE 135,00/hr35.00 i 70.00 <br /> TOTAL DL'S i <br /> OFFICE USE ONLY <br /> _._..._ _.._...._ ,£EPS I CORP N. __._.... LOC CODE DIST AMOUNT DUE- AMOUNT RCVI) CNEC. 1ItA5H RCYD SY.. .DAIE RECEI4EG PERRI1.i_.--- <br />