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UNOERGROUND STORAGE TANK PROGRAM - FEE t10RK5eEcl <br /> FACILITY CON NAME <br /> S FACILIIY SITE NAME LL'Mfd Gums <br /> I Lloyd Wflis <br /> 1 SITE PHONE R with AREA CODE <br /> E FACILITY ADDRESS N/A <br /> 303 S. Cherokee Ln. <br /> ^ STATE 21P CODE # of IANKS <br /> ^ <br /> Cllr Lodi CA 95240 at SITE 0 <br /> P APPLICANT CONTACT NAME <br /> 0 ApPLIdNi/SILL TNG NAME <br /> P <br /> I I 1 nvd GIRD <br /> I APPLICANT PHONE / WITH AREA CODE <br /> C NAILING ADDRESS <br /> A 731 Birchwood Dr. (209)368-8080 <br /> N STATE 21P CODE TYPE of APPLICATION �e�ilol'�3i <br /> T CITY <br /> Lodi, CA 95240 (Closure, Installation, etc. <br /> TOTAL <br /> 1986 1981 1988 1989 1990 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) • 11100.00 11 <br /> A <br /> C f <br /> I FACILITY PENALTY FEES ASSESSED (If Applicable) XXXX XXXX <br /> I <br /> V U)1K FEE $50.00/LANK (Prior to Jeruery 1,1991) f170/LANK (Alter January 1, 1991) <br /> E J19816R Tanks 1987 1988 1989 1990 1991 1992 19931994 1995 1996 <br /> F (rmdliply Iby fee forA each year nlpllceble) <br /> r1 TANK PENALTY FEES ASSESSED XXXX <br /> t — <br /> I STATE SURCHARGE _ $56.00 each TANK (Due every 5 years) See California N L S Code, Section 25287 <br /> r <br /> v R Tanks K $56.00 1966 through 1990 1991 through 1996 <br /> (Enter amount and year) 11 <br /> 00 <br /> C PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) TANK I.D. R(a) <br /> L <br /> 0 CLOSURE FEE • 1711.00/hour (3 haze minimum/TANK) / IANK(s)_ X $234.00 1 <br /> S SN V <br /> U TEMPORARY CLOSURE'(Plan Review L Inspectlons) TANK I.D. SIR) 9086 <br /> R <br /> E TlMORRDY CLOSURE FEE - 178.00/hour (3 hours mini"/FACILITY) 1234.00 minlaRm 9234.00 <br /> P INSt AtLAIION PLAN CHECK (Plan Review L Construction Inspections) TANK I.O. 80) <br /> L <br /> A <br /> N PLAN CHECK FEE • 1178.00/hour (8 hours minln"WrACILITY) • $624.00 mini mum $ <br /> R REPAIR FEE (workplan Review L Construction Inspections) LANK L0. R(a) <br /> � E <br /> P TARK LININO REPAIR FEE - 178.00/hour (3 hours minium/LANK) / TANK(s) _ X 5234.0 • S <br /> A <br /> I IARK RETROFIT REPAIR FEE • 1178.00/hour (3 hours min./FACILITY) _ $234.00 mini mue t <br /> R <br /> PIPING REPAIR FEE _ $78.00/hour (3 hours minlnWFACILITY) • $234.00 minima^ $ <br /> N TRANSFER FEE _ $20.00 UNAUTHORIZED RELEASE EVALUATION = $78.00/hr 1 <br /> I <br /> S <br /> C CONSULTATION FEE _ $78.00/hr SAMPLING INSPECTION FEE • 178.00/hr 11 <br /> TOTAL DUE £34.00 <br /> FOR OFFICE USE ONLY <br /> M fM=teN MXM MN WM MNIx•,WY•YIM]MMw=IWa,vwWW�N•iW Ni,ti MM M.Mw M�,,,.M wW w=xM YMM WM.M MM,aM=W,I�MFM.Y MNMMTM�M MYM MM•MM <br /> ""`sl7E`iE`�"rM E`tifMTh�iE"N' `&.'"�`d6`I"�'afi"Pill"'(?FIFE°'�"A'pditT�H�°`dPU�B""�'E��t�91t"�iSffl""""'�"'"�`�E4'1VI'B"IYMA11A1�'"""ff�"f'L•""`d��iV�N""'"" <br /> al <br /> :..__................... 1......__.............. s.....__.._ ............. ....__....__...._........ .._....... _. .: .:,: ;�..._....._...._.._........._ <br /> MY.4M MIMMMm••MM Y�1•rMM•11M"WYMw..,.MMW..,nFw.H=M MIN=,nM YN.1M our M••O MY•rM M11••Y=M,wlw,TIM" Yw,.M w,•Yw=M Mx,•wM <br /> M A`aaM MM.+MI MIIINMM MRM MMMAYMM MRfW MMd•MIeMrMMMMM MR MAMMM MRM M/M MA4MM mM/M MMMMMRMMYM MRM MIFM MAM MM <br /> EN 23 032 (REVISED 3.1-931 Pea@ 11 <br />