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4/ <br /> SAN 10A0UIN COUNTY :0'SANVOEMVEENCAL LTH OIYSION <br /> PUBLIC <br /> TORAGE TANK PROGRAM <br /> FACILITY CONTACT_ NAME <br /> ,FACILITY`4�1LTE NAME — / v.T+�- r(j�•�`�� <br /> I SITE PHONE % with AREA CODE <br /> `E FACILITY ADDRESS <br /> i 'q/Z� ' OK-/i'KJ STATE ZIP CODE I S of TANKS <br /> CITY IW r I at SITE <br /> A <br /> P APPLICANT CONTACT N M�1 E <br /> P1 ILL ING NAME <br /> L L <br /> I APPLICANT PHONE 9 WITH AREA CSE <br /> C :yAjLING A RESS �O� - � e4(oL( C� <br /> A L1/ <br /> STATE Z[P CCDE I TYPE of APPLICATION <br /> N <br /> T CITY I I (Closure, Installation, em-) <br /> TOTAL <br /> 1986 11987 11988 1989 I :1 <br /> -•3 I 00 S100 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1^'1) = . <br /> I{ xxxx I xxxx I xxxx � xxxx I xxxx s zxxxxxxx <br /> A <br /> xxxx xxxx I xxxx I xxxx xxxx S Xxxxxxxx <br /> T FACILITY PENALTY FEES ASSESSED (If Aoplie30:0 1 <br /> II 5170/TANK (After Jaaaary 1, 1991) <br /> 1 <br /> V TANK FEE = 550.00/TANK (Prior to Jaruary ,1991) <br /> E X Tanks = 11988 11989 '.990 1991 11992 11993 11994 1995 i 1996 11997 i 1998 <br /> R by `ee for <br /> F (multiP(Y <br /> A each year appltcah le) xxxx I xXXX i xxxx %XXX IXXXX I I I I I S <br /> C IXXxXXX <br /> I TANK PENALTY FEES ASSESSED I XXXX IXXXX IXXXX I I S <br /> I I I S <br /> LSTATE SURCHARGE FOR NEV FACILITIES ONLY=-tc-50 <br /> T1988 ch rough 1993 (356) 1993 through 1997 (356) 1998 <br /> Y 4 Tanks x 38.00 <br /> I XXXXXXXXXXXXXXXXXXXXXXX S <br /> SURCHARGE FOR 1998 i %%%XXX%a:cxXXX%X%XXXXXXXX%X% { <br /> TANK I.D. %(s) <br /> L PERMANENT CLOSURE (Removal or Authorized :'- in-in-P lace) I <br /> LS TANK(s) 00 = 5 OZr 00 <br /> 0 CLOSURE FEE = 378.00/hour (3 hours min i,,,--/TANK) <br /> I �,_, X 5Z34. <br /> S I TANK I.D. 1(s) <br /> .- <br /> U TEMPORARY CLOSURE (Plan Review 3 Inspect .$) 1 <br /> R S <br /> E TEMPORARY CLOSURE FEE - 578.00/hour (3 h.-;yrs :minimum/FACt/FACILITY) I 5234.00 minisAxo <br /> P INSTALLATION PLAN CHECK (Plan Review 3 construction Inspections) TANK I.D. X(s) <br /> L <br /> A = S6Z4-00 minimum 5 i <br /> N PLAN CHECK FEE = 578.00/hour (8 hours min run/FACILITY) <br /> TANK I.D. x(s) <br /> R REPAIR FEE (`Workplan Review b Constructi ::�. inspections) I <br /> E - X 5234.00 5 <br /> P TANK LINING REPAIR FEE = 578.00/hour (3 -.,urs minimum/TANK) I % TANK(s) <br /> 3 <br /> A = 5234.00 minimus <br /> I TANK RETROFIT REPAIR FEE = 578.00/hour (:i hours min./FACILITY) <br /> R = 3234.00 minimum 5 <br /> PIPING REPAIR FEE = 578.00/hour (3 hour, minimum/FACILITY) <br /> 15 <br /> rKTRANSF�ER FEE = 520.00 i I UNAuTiORIZED RELEASE EVALUATION = 578.00/hrI I = s78.00/hrONSULTATION FEE = 578.00/hr SAM-LING INSPECTION FEE <br /> - TOTAL DILE SFOR r <br /> OFFICE USE ONLY <br /> .xE'-EIVEO iiY � 'i <br /> `` c. CHECK S/GIN �_. <br /> i I DATE RECEIVED <br /> CHECK <br /> _. <br /> SWEEPS <br /> S COMPUTER LOC CODE 0[°i OOE AMOUNT REC_.VED .- <br /> r S _--_ <br /> ..::....................... ..... <br />