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TQTAL <br />.RVAIR FE= CJarknLan Review I Ccrtst:.Edon Inspections) I <br />TANK E.J. #(s) <br />1 1986 <br />'.987 :988 1989 <br />I 1 <br />1990 <br />3 'TANK(S)X SZ=4.J0 = <br />SAIL MACUIN COUMr LIC HEALTH SERVICES - cVVIRC101E3TAL HEALTH r 'ICN <br />� X>o� i <br />' <br />UNDER4 D STORAGE TANK PROGRAM - FEE WRKSHEF- <br />Si <br />zAC:Li-Y SITE ,4AME <br />__ <br />?iP-NG •REPAIR '-= = 578_00/hour (3 hours miniiaum/FACILITY) <br />= SI34.00 airtimr,m <br />FAC= TT CONTACT HARE j <br />I 1 <br />c' <br />TI <br />=AC:L:TY PENALTY FEES AS,cS CI` ACplicab( e) <br />I X=I <br />X)C:OC ` X;000 I XxCX I <br />1 <br />ADORESS <br />TANK 550.00/TANK <br />(Prior :a January i, 1991) I <br />Slic ?HONE -.4i;=AREA CODE <br />(Aiter Jancsary i, 1991) <br />cI <br />IL <br />11988 11989 1990 11991 11992 11993 <br />eu X33— 3,//& <br />I` <br />1998 I <br />FI <br />Al <br />enol:iply : --Y fee ;or <br />eac.� year acplicaole) <br />L"D. ZIP E/ % Of T•LNKS <br />� <br />I <br />I I I <br />j <br />11 5 <br />/STATE` <br />at SITE <br />4 <br />I <br />I XJOCX I =a XXXX x= I � <br />� <br />I k l <br />I <br />L. <br />ii <br />? <br />Pi <br />�4C <br />APP!_:CANT/SILL:NG `LAME <br />I APPI ICAAT =MTA(, VANE <br />/ <br />Ti <br />+ 'anks x 58.00 <br />774 <br />1993-4r:ucn 1997 (356)1 -998 I <br />C{ <br />,MAIL:YG 00 ESS <br />APPL XANT P4CHE + llia AREA ^=E <br />V <br />T <br />*_„ <br />C. <br />%_rtiC c.�1 <br />_ <br />STATE <br />I 14� <br />C!� <br />{ e <br />ZIP C=E TYP_ of APPL !CATION <br />r/ I /� <br />% f CCLcssu'e, Irsstal Iat:art, etc_) /��'it-c 7_ <br />7� <br />TQTAL <br />C; ?GRMANES C_OSURE (Removal or Authorized CLosure-in-Place) I TANK I.J. =(S) <br />L'( 3 TANK(s) X S=4.313= <br />- <br />01 C' '.SURE FEE' = S78.00/hour (3 hours :ninimtsm/TANK) <br />S <br />UI-MPCRARY CLOSURE Celan Review 3 :nscectians) i TANK I.J. :(s) <br />R___ <br />�! '=MP0RAR7 LOSURE _c = S78.30/hour (3 hours .ainiamiFAC:L:TY) SZ34.00 mirnm= <br />S <br />S <br />P! INVALIITION ?LAN CHEa (?(an Review b :zm-,ruc-ian :nspectians)I TANK I.O. (s) <br />LI <br />Ai 5 <br />Al ?LAN C3ECx r== = 378.00/hour (8 hours minim mt/FACMITY1 = 56Z4. I0 atrtimus <br />Rj <br />.RVAIR FE= CJarknLan Review I Ccrtst:.Edon Inspections) I <br />TANK E.J. #(s) <br />1 1986 <br />'.987 :988 1989 <br />I 1 <br />1990 <br />3 'TANK(S)X SZ=4.J0 = <br />ANNUAL FAC:Lii( FE= (Prior :o January i, 1991) = 5100.00 <br />� X>o� i <br />{ <br />X7I7oc X>o� � X>aX I <br />XXXX I 5 XX:CIXXXX <br />A <br />R <br />I <br />__ <br />?iP-NG •REPAIR '-= = 578_00/hour (3 hours miniiaum/FACILITY) <br />= SI34.00 airtimr,m <br />I <br />c' <br />TI <br />=AC:L:TY PENALTY FEES AS,cS CI` ACplicab( e) <br />I X=I <br />X)C:OC ` X;000 I XxCX I <br />XXXX 5 X)CX7CXX <br />(_ <br />V <br />TANK 550.00/TANK <br />(Prior :a January i, 1991) I <br />5170lTANK <br />(Aiter Jancsary i, 1991) <br />cI <br />7anxS = <br />11988 11989 1990 11991 11992 11993 <br />I :994 11995 <br />19% 1997 <br />1998 I <br />FI <br />Al <br />enol:iply : --Y fee ;or <br />eac.� year acplicaole) <br />;O=I I S I )=x j� I <br />I <br />I I I <br />j <br />11 5 <br />C' <br />[I <br />TANK '25NAL i" :=-=S ASSESSED <br />I <br />I XJOCX I =a XXXX x= I � <br />( <br />I k l <br />} S <br />L. <br />ii <br />STATE SURCHARGE ?OA 9Ei1 FACILITIES CNLT=•518.30 <br />S <br />Ti <br />+ 'anks x 58.00 <br />I :988 :hr ugh t943 CS56) <br />1993-4r:ucn 1997 (356)1 -998 I <br />i SURCHARGE FCR 1998 <br />C; ?GRMANES C_OSURE (Removal or Authorized CLosure-in-Place) I TANK I.J. =(S) <br />L'( 3 TANK(s) X S=4.313= <br />- <br />01 C' '.SURE FEE' = S78.00/hour (3 hours :ninimtsm/TANK) <br />S <br />UI-MPCRARY CLOSURE Celan Review 3 :nscectians) i TANK I.J. :(s) <br />R___ <br />�! '=MP0RAR7 LOSURE _c = S78.30/hour (3 hours .ainiamiFAC:L:TY) SZ34.00 mirnm= <br />S <br />S <br />P! INVALIITION ?LAN CHEa (?(an Review b :zm-,ruc-ian :nspectians)I TANK I.O. (s) <br />LI <br />Ai 5 <br />Al ?LAN C3ECx r== = 378.00/hour (8 hours minim mt/FACMITY1 = 56Z4. I0 atrtimus <br />Rj <br />.RVAIR FE= CJarknLan Review I Ccrtst:.Edon Inspections) I <br />TANK E.J. #(s) <br />P} <br />TANK LINING REPAIR 578.00/hour (3 hours minimum/TANK) I <br />3 'TANK(S)X SZ=4.J0 = <br />S <br />A <br />i j <br />TANK RETROFIT REPAIR =c. = 578.00/hour 0 ;sours ,min./FAC:LIT") <br />- SZ34.00 minim m <br />S. <br />R <br />I <br />__ <br />?iP-NG •REPAIR '-= = 578_00/hour (3 hours miniiaum/FACILITY) <br />= SI34.00 airtimr,m <br />I <br />i 5 <br />Al i TRANSFER F- = 520.00 I UNAUTHmI-ZM. REL4ASE-/ALUATICN = Si8.J0/hr i I 4 S <br />II <br />S' <br />C. C«NSULTATICN r_= = 578.00/hr I I SAMPLING (NSPEC1GN FEE = S78.OD/hr I I S <br />f <br />=AL ME � 5 <br />FCR OF==- USE ONLY <br />=R 23 032 (REVISED 1-12-98) <br />