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SAN JOAQUIN COUNTY PUBLIC HEALTIi SERVICES <br /> ENVIRONMEUNDERGROUND STORAGE NTANK PROGRAM DIVISION <br /> rMAILING <br /> Y SITE NAME FACILITY CONTACT NAME <br /> I Sun West Liquors <br /> FACILITY ADDRESS 2449 W. Kettleman Ln. SITE PHONE f with AREA CODE <br /> (209)333-1036 <br /> A CITY STATE 2[P CODE of TANKS <br /> Lodi, CA 95242 at SiTE 3 <br /> LT/81LLING NAME APPLICANT CONTACT NAME <br /> James AnaenOS C/o Diana ;,rag _ <br /> AApORESS APPLICANT PHONE N WiTH AREA CODEM84? N. Cluff Ave. (209)333-1036 <br /> T Lodi, iE ZI�6M TYPE of APPLICATION <br /> (Closure, Installation, etc.) Removal <br /> TOTAL <br /> A 1ANK FEE = S50.00/TANK (Prior to January 1,1991) jtWO/TANK (After January 1, 1991) <br /> CTNTanks 1986 1987 1988 1989 1993 1994 1995 1996 <br /> 1 (multiply P"by"'fee for <br /> E each year applicable) xxxx xxxx xxxx xxxx 5TANK PENALTY FEES ASSESSED xxxx xxxx xxxx xxxx : <br /> S I <br /> I <br /> STATE SURCHARGE = 556.00 each TANK (Due every S years) See California M d S Code, Section 25287 <br /> E N Tanks x $56.00 1986 through 1990 <br /> (Enter amount and year) g 1991 through 1996 <br /> S <br /> C PERMANENT CLOSURE (Removal or Authorized Closure-In-Place) TANK I.D. M(a) <br /> L <br /> S CLOSURE FEE 578.00/hour (3 hours minimum/TANK) 9 TANK(s)_3___ x $234.00 • f <br /> 702.00 <br /> U TEMPORARY CLOSURE (Plan Review i inspections) TANK I.D. 0(s) <br /> R <br /> E TEMPORARY CLOSURE FEE = S78.00/hour (3 hours minimum/FACILITY) 5234.00 minimum S <br /> P INSTALLATION PLAN CHECK (Plan Review t Construction Inspections) TANK I.D. X(s) <br /> L <br /> A <br /> N PLAN CHECK FEE = S78.00/hour (8 hours minimum/FACILITY) = $624.00 minimum f <br /> R REPAIR FEE (Workplan Review & Construction inspections) TANK I.D. #(s) <br /> E - <br /> P TANK LINING REPAIR FEE = 578.00/hour (3 hours minimum/TANK) S TANK(s) x $234.00 = $ <br /> A <br /> 1 TANK RETROFIT REPAIR FEE = 578.00/hour (3 hours min./FACILITY) = $234.00 minimum S <br /> R - <br /> PIPING REPAIR FEE = 578.00/hour 0 hours minimum/FACILITY) = $234.00 minimum S <br /> N TRANSFER FEE = 520.00 UNAUTHORIZED RELEASE EVALUATION = $78.00/hr >j <br /> I i <br /> S <br /> C CONSULTATION FEE = 578.00/hr SAMPLING INSPECTION FEE = $78.00/hr S ! <br /> i <br /> TOTAL DW 702.00 <br /> ER. WNW <br /> i?!!lli..i..ii�!?i?E?.!H!??II�!il�Il 1.1111?I!I !i 1�! Ili U!. Iliilil !f18!lii!! m .I EI!!� n�gAfmHf(mm!ISMNtlmI� pu i <br /> EH 23 046 (Revised 9/11/96) Page 11 <br />