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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES J U L 0 7 1992 <br />ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TAar 00=" . nee ub.....�.� <br />F <br />FACILITY SITE NAME <br />DDRW-Tracy <br />IJEAITW <br />FACILITY `CONTACT pI R 'v SERVICES <br />Marshall Cloud/Mark Philliber <br />I <br />FACILITY ADDRESS <br />25600 Chrisman Road <br />SITE PHONE 0 �i th AREA CODE <br />(209) 832-9908 <br />T <br />CITY STATE <br />Tracy CA <br />ZIP CCOE <br />95376 <br />$ of TANKS <br />at SITE <br />F <br />P <br />L <br />APPLICANT/BILLING NAME <br />IT Corporation <br />APPLICANT CONTACT NAME <br />Sohn McGuire/Dan Friberg <br />I <br />C <br />NAILING ADDRESS <br />4585 Pacheco Boulevard <br />APPLICANT PHONE M WITH AREA CODE <br />(510) 372-9100 <br />N <br />T <br />CITY <br />Martinez <br />STATE <br />CA <br />ZIP CODE <br />94553 <br />TYPE of APPIIGTIOM <br />CLOSURE, INSTALLATION, etc. <br />Closure <br />A <br />TOTAL <br />C1986 <br />T <br />1 <br />V <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) . $100.00 <br />1987 1908 1989 1990 <br />S <br />E <br />TANK FEE • S50.00/TANK (prior to January 1,1991) <br />5170/TANK (after January 1, 1991) <br />F <br />A <br />C <br />0 Tama • <br />(multiply rw-fee for <br />own year applicable) <br />19%! 1% <br />—7j 1988 1989 1990 1991 1992 7993 1991 1995 1996 <br />50 1 50 1 1001 tool 1001 340 340 <br />S 1,080.00 <br />L <br />STATE S$tpWtG[ • 256.00 each TANK (Dw every 5 yeah) Sea California H A s Code. Section 25287 <br />T <br />Y <br />0 Tanks x $56.00 <br />(enter arrant and year) <br />1966 through 1990 <br />1991 thrau$h 19% <br />56.00 56.00 <br />S 112.00 <br />C <br />PERMANENT CLOSURE (Removal or Authorized Closure-imP—=) <br />TAIL 1.0. SCSI <br />OL <br />CLOSURE FEE • S53.00 per hour (3 hours minim per TANK) <br />0 TAMK<s) 1 K $159.00 • <br />r S 159.00 <br />S <br />U <br />R <br />TEMPORARY CLOSURE (A one-time permit, for reriw/inspeetione) TANK I.D. !(s) <br />E <br />TEMPORARY CLOSURE FEE • SISO.DO each TANK <br />0 TANK(s) X 5150.00 • <br />S <br />P1 <br />L <br />PLAN CHECK (Instal L. Plan Review i Construction Inspections) <br />TANK I.D. 0(s) <br />A <br />N <br />PLAN CHECK FEE - $53.00 per hour (8 hour minisum per Facility) . $424.00 minimum <br />S <br />R <br />E <br />REPAIR FEE (workplan review A construction inepeetions) <br />TAR L.D. 0(a) <br />P <br />A <br />TANK REPAIR FEE • SS3.00 per har (3 how miniaaVTANK) <br />0 TANK(s) K 5159.00 • <br />S <br />I <br />R <br />PIPING REPAIR FEE • S53.DO per hour (3 hour mining per facility . S159.GO) <br />S <br />N <br />1 <br />TRANSFER FEE • S20.00 UNAUTHORIZED RELEASE EVALUATION • S53.DO/hr <br />S <br />C <br />CONSULTATION FEE • 553.00/hr i SAMPLING INSPECTION FEE <br />. $53.00/hr <br />$ <br />TOTAL DUE I S 1,351.00 <br />EH 23 032 (REV 4/8/91) ft Page 11 <br />