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1"'"ERGROUND STORAGE TANK PR06RAM - FEE NORKSHEF- V <br /> F FACILITY/SITE NAME <br /> p FACILITY CON CT NAME <br /> 1C CURRY'S WAREHOUSE SALES Paul Curry <br /> L STREET IIIIEIJ127 E. Fremont Street SITE PHONE t (with Area 'Code) <br /> lI (209) 464-7374 <br /> T <br /> y CITY Stockton, STATE IIP CODE t of TANK'S <br /> Ca. 95205 at Site (1) ea. 4,000 Gallon <br /> [11 <br /> APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> STOCKTON CONTRACTING GROUP, INC. Jerry Joy <br /> L <br /> 1 MAILING ADDRESS APPLICANT PHONE f (w+}h Area Code) <br /> C 1000 N. Union Street (209) 462— 5082 and 462-1481 <br /> A <br /> N CITY Stockton STATE IIP CpDE TYPE of APPLICATION <br /> T Ca. 95205 (Cloture, Installation, etc.) CLOSURE <br /> FACILITY FEE = $100.00 each SITE ADDRESS per YEAR <br /> A TOTAL <br /> C )986 1987 1988 1989 <br /> T <br /> V $ <br /> E TANK FEE _ $50.00 each TANK <br /> F I Tanks : $50.00 1986• 1987 (988 1989 <br /> A (sultipTy i-by fee for <br /> I each year applicable) $ <br /> L STATE SURCHARGE = $56.00 each TANK (see CA HEALTH I SAFETY CODE Sec 25287 for applicability) <br /> I <br /> T I Tanks X' $56.00 1986 187 1988 1989 <br /> Y (enter iiount and year) <br /> $ <br /> C PERMANENT CLOSURE (Removal or Closure-in-place) <br /> L <br /> S CLOSURE FEE _ $90.00 each TANK t tanks__C 1 A $90.OG $ 90.00 <br /> U <br /> R TEMPORARY CL <br /> E OSURE (Only allowed one time for up to two years) <br /> TEMPORARY CLOSURE FEE = $80.00 each TANK' t Tanks 1 $80.00 f <br /> P PLAN CHECK (Installation or Repair) <br /> I - <br /> A <br /> N PLAN CHECK FEE _ $30.00 each SUBMISSION/RESUBMISSION $ <br /> R REPAIR R E <br /> E TANK REPAIR FEE.= $110.00 each TAN): <br /> P <br /> A <br /> I PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum one hour t 6NMENTAkbHEAi13H <br /> R <br /> UNAUTHORIIED RELEASE EVALUATION CONSTRUCTION SAMPL INP-MITI <br /> (when applicable) INSPECTION INSPECTION <br /> FEE = $30.00/hr FEE _ $35.00/hr FEE = $35.00/hr $ <br /> TOTAL DUE $ <br /> OFFICE USE OKLY <br /> SWEEPS I COMP $ LOC CODE DIST DE ANOUNT DUE AMOUNT RCVD CHECK $/CASH RCVO BY DATE RECEIVED PERMIT $ <br /> L/ <br /> 2oDcf Sir✓f3� <br />