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UNDERGROUND STORAGE TANK PR06RAM - FEE NDRKSHEET <br />ILITY/SITE NAME JRE � L &, M <br />L ONO S <br />1 <br />FACILITY CONTACT NAME pAUL_ "CN1Au r S <br />L STREET ADDRESS 339 <br />SITE PHONE 1 (with Area Code)��7o9� Sri�i-G I f S <br />Y CITY iZlP6N ClgLlf 9S3�ro STATE IIP CODE 1 of TANKS <br />LOC CODE DIST CODE AMOUNT DUE AMOUNT RCVD CHECK 1 ASH RCVD BY DATE RECEIVED PERMIT 1 <br />at Site <br />A APPLICANT/BILLING NAME SEMCO <br />F <br />F <br />APPLICANT CONTACT NAME ���ErLT MA2SI <br />L <br />I MAILING ADDRESS t+:31 vim. N aqZ C N y <br />C <br />APPLICANT PHONE 1 (with Area Code) <br />A 2OR 9(nS3 <br />N CITY mo I STATE ilP CODE TYPE of APPLICATION <br />CPi <br />9S�S� (Closure, Installation, etc.) CLO SURA <br />FACILITY FEE = 1100.00 each SITE ADDRESS per YEAR <br />A <br />TOTAL <br />T <br />T <br />I <br />1986 1987 <br />1988 <br />1989 <br />_ <br />/OU 1 <br />E <br />TANK FEE = 150.00 each TANK <br />F <br />A <br />1 Tanks x 150.00 1986 1981 <br />(aultipri 1 -by lee for <br />1988 1989 <br />C <br />each year applicable) <br />L <br />I <br />STATE SURCHARGE = 156.00 each TANK (see CA HEALTH $ SAFETY CODE Sec 25287 for applicability) <br />T <br />Y <br />I Tanis ( x 156.00 <br />(enter iiount and )ear) <br />1986 1987 <br />1988 <br />1989 <br />C <br />PERMANENT CLOSURE !Removal or Closure -in-place! <br />CLOSURE FEE = 190.00 each TANK <br />1 Tanksx 190.00 <br />f <br />[EP <br />TEMPORARY CLOSURE (Only allowed one time for up to two years) <br />TEMPORARY CLOSURE FEE a 180.00 each TANK <br />I Tanks x 180.00 <br />f <br />P PLAN CHECK (Installation or Repair) <br />L <br />- <br />A <br />N PLAN CHECK FEE = $30.00 each SUBMISSION/RESUBMISSION <br />1 <br />REPAIR <br />R <br />E TANK REPAIR FEE $110.00 each TANK <br />P <br />1 Tants s 1110.00 <br />{ <br />A <br />I PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum one hour to be <br />R <br />paid on plan submittal) <br />UNAUTHORIZED RELEASE EVALUATION <br />when applicable) <br />CONSTRUCTION <br />INSPECTION <br />SAMPLING <br />INSPECTION <br />FEE = 130.00/hr <br />FEE a $35.00/hr <br />FEE a $35.00/hr <br />f <br />TOTAL PIE <br />f �— <br />F r <br />or.. L' VOL VNE <br />SWEEPS 1 <br />CON? 1 <br />LOC CODE DIST CODE AMOUNT DUE AMOUNT RCVD CHECK 1 ASH RCVD BY DATE RECEIVED PERMIT 1 <br />