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' i <br /> SAN JOIl IN (AUNTY PUBLIC BERLIN SERVICES - ENVIRONMENTAL NEALTR DIVSION <br /> UNDERMUN0 SIORAGE TANK PROGRAM - FEE wORKSHEEY <br /> FACILITY SITE NAME Don Rodgers FACILITY CONTACT NAME Don Rodgers <br /> I FACILITY ADDRESS SITE PHONE I with AREA CODE <br /> R 550 W Chater Way N/A <br /> A <br /> city SIR <br /> 21P CODE :to <br /> 9f TA <br /> 11ENKS <br /> P —Stockton,P APPLICANT/1111.1.11111 NAME APPLICANT CONTACT NAME <br /> Don Rodgers Don Rodgers <br /> C HAILING AGGRESS APPLICANT PHONE I WITH AREA CODE <br /> A <br /> N 1 0 S. Union St. <br /> ---- <br /> 1 CITYS�L1tE 21p5C3oQE (Closure PInstal�atton, etc.)removal <br /> Manteca, AA yy S$ <br /> TOTAL <br /> 1986 1987 1988 1969 1990 <br /> ANNUAL FACILITY FEE (Prior to January 1. 1991) = 9100.00 <br /> A %XX% x%NX NXXX 1 <br /> T FACILITY PENAL IT /EES A33ESSE0 (If Appl lcabl e) xxxx xxxx xxxx 9 <br /> V TANK FEE = 950.00/IANK (Prior to Jmunry 1,1991) 9170/TANK (After January 1, 1991) <br /> E <br /> R Ipnks = I 1986 1987 1988 1989 1990 1991 1992 1995 1996 1995 1996 <br /> r (multiply run—Yfee for <br /> A ench year a(plicabte) xxxx xX%% XNXX - s <br /> 1 TANK PENALTY FEES ASSESSED I xxxx xxxx xxxx _ <br /> I. <br /> I <br /> STATE SURCHARME = 956.00 each TANK (Due every 5 years) See California N 6 S Code, Section 25287 <br /> T R TantaI x 556.00 1986 through 1990 1991 through 1996 <br /> (Enter 'aunt and year) <br /> � I <br /> V PERMANENT CLOSURE. (Re- vst or Authorized Ctosure-In-Place) TANK I.D. I(a) � <br /> 0 CI.OSIME FEE a 1:78.00/hour 0 hours minlmm/IANK) R TANK(s)--J _ X 9234.00 + %2' 4.00 <br /> U TENPONARY CLOSURE (Plan Review R Inspections) TANK I.D. Iia) <br /> It — -- <br /> E TEMPORARY CLOSURE FEE + 978.00/hour (3 houm minimum/FACILITY) 3234.00 minimum 9 <br /> l INSTALLATION PLAN CHECK (Plan Review S Construction Inspections) TANK I.D. R(S) <br /> A <br /> N PLAN CItECK FEE = 978.00/hour (8 hours min(mnt/FACILITY) 9624.00 mintmm ! <br /> R REPAIR FEE (workplan Review A Construction Inspections) TANK I.D. I(a) <br /> E <br /> P TANK LINING REPAIR FEE • 978.00/hour 0 hours minlmum/TANK) I TAIi X 9234.00-• f <br /> 1 TANK RETROFIT REPAIR FEE = 5711.00/hour (3 hours min./FACILITY) v 9234.00 min(mua ! <br /> R <br /> PIPING REPAIR FEE = 578.00/hour 0 hours minimum/FACILITY) 1234.00 mini mm 9 <br /> NJ TRANSFER FEE - 920.00 UNAUTHORIZED RELEASE EVALUATION e 978.00/hr 1 <br /> I — <br /> S — <br /> C CONSULTATION FEE = 978.00/hr SAMPLING INSPECTION FEE + 978.00/hr 3 <br /> rrm(p f 11 TOTAL bllE � 234.00 <br /> !IIIGI�I;i!Q;�!r111111 f016iP�i�.Il iP!!I!1^!III'Il il! l!!01 IIII'll!I III!!1!1 i11111i!IIA!il!!I!II"1111111111'il'lll 11 II Iiltl^I! O�Il lllflllll•il Illltl�llil llll! '111' �! III II II <br /> I : :I:: :,,.,Ili I! Ir I n• Lu! 1. n I,!. ! 111116 ilNiaN n ;nII !i II li!INN6NIN�IN!INNII P„ r I,, !NINnINNN <br /> �b� ru�U��� r (d� � '�14r1 II�Ialla�dl iUr Iu � IN V)���W II6 fill ll"P <br /> rr�IN!ImN,'�NNNMIIIII!INI�IIgNIIIINNNNININI9111NIIIII�INNINNIINIIICIIIINIIIM��INININNIIICIN6'IINIINI!IINIINL41tNIIIIIININNNIIIIIII'6911111'NNN�11Nl�NI'IICIN�911'�IIIINIINNINNINIIII'RII���11N�11!NI�ININCIINNIIIIINCII�INIII�I�ImNIINmNNIINNNIN�N�INNNNNINNI� <br /> FN 23 032 (REVISED 4-29-94) Page 11 <br />