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r. <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROCAM - FEE WORKSHEET <br /> FACILITY SITE NAME - FA LITY CONTACT NAME <br /> C <br />[LAPPLICANT/BILLING <br /> CI ITY ADOR S SITE PHONE / with AREA CODE <br /> STATE 2 P CODE / of TANKS <br /> O at SITE ASO d 0 O"✓}GGf� <br /> APPLICANT CONTACT NAME <br /> C0 i �CPPLICANT PHONE / H AREA CODE <br /> SJ[RiE TYPE of APPLICATION <br /> CA CLOSURE, INSTALLATION, ate. 6 <br /> TOTAL <br /> 1986 1987 1988 1989 1990 <br /> ANNUAL FACILITY FEE (Prior to Jwmry 1, 1991) • $100.00 $ <br /> TANK FEE • $50.00/TANK (prior to January 1,1991) $170/TANK (after January 1, 1991) <br /> N Tanks 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> (multiply �llc a for $ <br /> each year app <br /> STATE SURCHARGE • $56.00 each TANK (DUE every 5 years) See California H $ S Code, Section 25287 <br /> 0 Tanks x $56.00 1986 through 1990 1991 through 1996 <br /> (enter iri, tend year) S <br /> PERMANENT CLOSURE (Removal or Authorized Closure-ln-Place) TALK I.D. 41(s) <br /> CLOSURE FEE • r hour (3 hours adnleza per TANK) 8 TAMK(e)_ X •M9!"'00—• � ' ;Z. 3 <br /> TEMPORARY CLOSURE (A one-time permit, for revive/inspections) TANK I.D. !(a) _ <br /> TEMPORARY CLOSURE FEE • 5150.00 each TANK / TANK(e) _ K� $ <br /> PLAN CHE[K (Install. Dian Nevlew i Corotruetlon Inpxtloro) <br /> PLAN CHECK FEE f5i:00-p�r hour (8 hours minima per Facility) • $424.00 Iolnlmesa S <br /> REPAIR FEE (workplan review Z catetructlan Inspections) <br /> TAMK LD, f(s) <br /> TANK REPAIR FEE • $53.00 per hour (3 hours minlmW?ANK) # TANK(s) K $159.00 • S <br /> PIPING REPAIR FEE • $53.00 per hour (3 hour minima per facility • $159.00) $ <br /> TRANSFER FEE $20.00 UNAUTHORIZED RELEASE EVALUATION • $53.00/hr $ <br /> CONSULTATION FEE • 553.00/hr SNWUNG INSPECTION FEE • $53.00/hr S <br /> TOTAL DUE S <br /> Immar irl <br /> 517�Fd E( b � Y 6 <br /> amanmu <br /> -x!mIMmamm arm, w 'c a uaamu�u 410GIONJ1JIiulilB <br /> ';:aew;mmmma <br /> 23 032 (Revised 4/8/91) �' Page 11 <br />