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I <br />' SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE UORKSHEET <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> A Riverside Cement Co Steve Yocam <br /> I FACILITY ADDRESS SITE PHONE * with AREA COOS (209)948-0520 <br /> L 2825 W Washington St <br /> ICTiY STATE ZIP CODE of TANKS <br /> Y Stockton Ca. 1 95203 at SITE } <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P Riverside Cement Co. Accounts Payable Mike Seixes <br /> MAILING ADDRESS APPLICANT PHONE f WITH AREA CODE <br /> P.O. Box 4904 <br /> A <br /> 5TAT=ZIP DE TYPE of APPLICATIONRemoval <br /> N CITY CA. 5 CLOSURE, INSTALLATION, etc. <br /> T Diamond Bar <br /> TOTAL <br /> rAA <br /> 1986 1987 1988 1989 1990 <br /> CILITY FEE (Prior to January 1, 1991) ■ $100.00 : <br /> 5170/TANK (after Jenuery 1, 1991) <br /> = $50.00/TANK (prior to January 1,1991) <br /> N Tanks ■ 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> (multiply I lifee for S <br /> 7(: <br /> each year appSTATE SURCHARGE ■ $56 00 each TANK (Due every 5 years) See California H A S Code, Section 25287 <br /> f Tanks x $56.00 1986 through 1990 1991 through 1996 <br /> (enter amocrit and year) S <br /> PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) TAXX I.D. f(s) <br /> C = 159.00 <br /> L CLOSURE FEE ■ $53.00 per hour (3 hours minimum per TANK) f TANK(:)-1 X 5159.00 <br /> a <br /> s <br /> U TEMPORARY CLOSURE (A one-time permit, for review/inspections) TAKK I.D. s <br /> R f TANK($) X !150.00 S <br /> E TEMPORARY CLOSURE FEE ■ !9150.00 each TANK <br /> CNEP7LAHCH!ECK <br /> (lnstait. Plan Review $ Construction Inspections) TANK I.D. f(s) <br /> FEE - 153.00 perhour (8 hours minimum per Facility) ■ 5424.00 minimum ; <br /> R REPAIR FEE (workplan review i construction inspections) TANK I.D.�10(s)P TANK REPAIR FEE ■ 153 00 per hour (3 hours miniamin/TANK} f TANK(:) X S159.00 S <br /> A <br /> R PIPING REPAIR FEE 153 QO per hour (3 hour minis+um per facilor <br /> ity $159 00) ! <br /> M TRANSFER FEE $20.00 UNAUTHORIZED RELEASE EVALUATION 553.00/hr ! <br /> I <br /> C CONSULTATION FEE * 553 00/hr SAMPLING INSPECTION FEE ■ $53.00/hr ! <br /> TOTAL DUE 5 <br /> - <br /> � �� KSiliiQl9 <br /> 1 EH 23 032 (Revised 4/8/91) Page 11 <br />