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SAN JOAOUIN COUNTY PUBLIC HEALTH SEAVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> LWERGRCUVO STORAGE TANK PROGRAM + FEE VDAxSHEET <br /> FACILITY NAME FACILITY CONTACT NAME <br /> C �tJ o 60a S <br /> I FACILITY ADDRESS N. SITE PHONE S Vith AREA CODE <br /> L <br /> 1 <br /> T CITY STATE ZIP CODE ! of TANKS <br /> Y at SITE <br /> A APPLICANT/BtLLINO NAME APPLICANT CONTACT RARE <br /> P / <br /> L C V a I <br /> I RAILING ADORE APPLICANT PHONE / VItR-AREA CODE <br /> C 3 3 - `3 — 'J4 4 <br /> 1 <br /> N CITY STATE ZIP CODE tYP APPLICATION I <br /> T 05lIRE2NSTALWION, eta. 114 <br /> TOTAL <br /> A <br /> C 1986 198? 1988 1489 1990 <br /> T ANNUAL FACILITY FEE (Prior to JenUary 1, 1991) a !100.00 <br /> I ! <br /> V <br /> E TANK FEE _ 1150.00/1'ANK (prier to Jenusry 1,1991) !110/TANK (After Jsenary 1, 1991) <br /> F e Tanks = 1986 1981 1988 1989 1990 1991 1992 199] 1994 1995 1996 <br /> A (rtultlply e'by fee for <br /> C each year appllcsble) ! <br /> I <br /> L STATE SURCHARGE A 956.00 each TANK (Due every 5 years) See Caltfornb H A S Code, Sectldn 25281 <br /> I <br /> T a Tanks K 156.00 1986 lhrdu9h 1990 1991 thrd(Mh 1996 <br /> T (enter emotnt and yeer) <br /> PERMANENT CLOSURE (Removal, at. Authorlted Glelure•in•Pleee) TANK t.D. R(!) f; l — Cl <br /> C <br /> L CLOSURE FEE a SMOG per hour 0 hours MIMI" per TANK) ! tANK(A)_ It 059.00 A ! c� <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A oho-time permlt, for revl*4 ! inepeetlome LANK 1.0. R(1) <br /> R <br /> E TEMPORARY CLOSURE FEE a !150.00 each LANK / UNK(S) R 1150.Oo • ! <br /> P PLAN CHECK (Install. Olen RevitV d CohlthMtion Inspectlonl) TANK 1.0, S(1) <br /> L <br /> A <br /> N PUN CHECK FEE - 553.00 per hour (8 hours Atnle4Ae per tielilty) A J424.6d MIMIN A ! <br /> R REPAIR TANK I.D. a(1) <br /> e <br /> P TANK REPAIR FEE a 553.00 per hour (3 hours m(nlnkW?ANK) / TANK(!) X !159.00 a S <br /> A <br /> I <br /> R PIPING REPAIR REVIEV 1 CONSTRUCTION a 153.00 per hour (3 hour MIMI" per fedillty a !159.00) ! <br /> M CONSULTATIONS UNAUTHORIZED RELEASE EVALVAtION SAMPLINd (NSPECtiOp <br /> t <br /> S <br /> C FEE * fS3.00/hr FEE a 153.00/hr FEE a S 53.00/hr <br /> Owes 13ac ez <br /> a, 1�/�1PY/ T It TOTAL DUE <br /> OFFICE USE ONLY Uv .5 / .S oleA 6� <br /> " ss.�frar�iw�:pa�.r+s -SsDiiw soTZaTr4R'!t_.wMaMiuT.w`v`�s:m`i.^wf"^aw,emiewiaadiw yw+�xw:+«kiw'wr�wws ===Gfal.`llas..tf �p •a•�w•-. �msaf•+•!•l��—7 <br /> a•i1'E'7$ate' 'IC+W A L0.` 1t DISI C' 1' �I FC`� CWE[.R A/CASN �.VU91 U`111e Ce(v[U � Y[iM(1 J`r�: <br /> e <br /> waaa�aa��,e�+aa a�����/iT)l L1i�O:A '3l�Stl W�'� ::l SL�D`.Y�f�::T�!T^'S�R��R`J.1C yYa%iY sa}Ill alllaaa 0/�rRM� <br /> KI <br />