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SAN JOAQUIN LOCAL HEALTH DIFTRICT <br />TRGRDUND STORAGE TANK PROGRAM - FEE IIORKSI. <br />F <br />FACILITY/SITE NAME <br />FACILITY CONTACT NAME <br />A <br />Panella Trucking <br />Martin Thorpe (209) 462-4581 <br />C <br />U <br />R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br />I <br />STREET ADDRESS 2150 E. Fremont <br />SITE PHONE 1 (with Area Code) <br />1 <br />R <br />UNAUTHORIZED RELEASE EVALUATION <br />(when applicable) <br />ENT <br />T <br />Y <br />CITY Stockton <br />STATE <br />211 CODE <br />1 of TANK'S 4 <br />FEE = 135.00/hr <br />CA <br />V <br />E TANK FEE = $50.00 each TANK R E CE <br />at Site <br />A <br />APPLICANT/BILLING NAME <br />APPLICANT CONTACT NAME <br />P <br />Panella Trucksrig <br />Art <br />P <br />L <br />I <br />MAILING ADDRESS 5000 E. Fremont <br />APPLICANT PHONE 1 (with Area Code) <br />C <br />I <br />T 1 Tanks x $56.00 <br />Y (enter iiount and year) <br />209 -943-5000 <br />A <br />N <br />CITY <br />STATE <br />ZIP CODE <br />TYPE of APPLICATION Tank <br />T <br />Stockton, <br />I CA <br />(Closure, Installation, etc.) Removal <br />FACILITY FEE = $100.00 each SITE ADDRESS per YEAR <br />TOTAL <br />A <br />C <br />1986 <br />1987 <br />1988 <br />1989 <br />U <br />R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br />E <br />TEMPORARY CLOSURE FEE = $80.00 each TANK <br />1 Tanks x $80.00 <br />f <br />R <br />UNAUTHORIZED RELEASE EVALUATION <br />(when applicable) <br />ENT <br />$ <br />SAMPLING <br />INSPECTION <br />FEE = $30.00/hr <br />FEE = 135.00/hr <br />V <br />E TANK FEE = $50.00 each TANK R E CE <br />F 1 Tanks x $50,00 <br />A (multiply -I by fee for <br />C each year applicable) <br />1986 <br />1987 <br />1988 <br />1989 INL <br />$ <br />I <br />L STATE SURCHARGE = $56.00 each TANK (see CA HEALTH f SAFETY CODE Sec 25287 for 6Drti'��L4 S <br />I <br />T 1 Tanks x $56.00 <br />Y (enter iiount and year) <br />1986 <br />1987 <br />1988 <br />1989 <br />f <br />C PERMANENT CLOSURE (Removal or Closure -in -plate) <br />L <br />0 CLOSURE FEE _ $90.00 each TANK <br />1 Tanks__]__ x $90.00 <br />f 90.00 <br />S <br />N PLAN CHECK FEE = 130.00 each SUBMISSION/RESUBMISSION <br />U <br />R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br />E <br />TEMPORARY CLOSURE FEE = $80.00 each TANK <br />1 Tanks x $80.00 <br />f <br />PPLAN CHECK (Installation or Repair) <br />L <br />R <br />E TANK REPAIR FEE = $110.00 each TANK <br />A <br />1 Tanks x $110.00 <br />N PLAN CHECK FEE = 130.00 each SUBMISSION/RESUBMISSION <br />f <br />REPAIR <br />R <br />E TANK REPAIR FEE = $110.00 each TANK <br />1 Tanks x $110.00 <br />f <br />P <br />A <br />I PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum <br />one hour to be paid on plan submittal) <br />R <br />UNAUTHORIZED RELEASE EVALUATION <br />(when applicable) <br />CONSTRUCTION <br />INSPECTION <br />SAMPLING <br />INSPECTION <br />FEE = $30.00/hr <br />FEE = 135.00/hr <br />FEE _ $35.00/hr <br />f <br />TOTAL DUE <br />Is <br />OFFICE USE ONLY <br />