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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> F <br /> A Barnes Trucking Floyd Barnes <br /> C <br /> 1 FACILITY ADDRESS 1817 S. FCBSC)O Ave. SITE PHONE R with AREA CODE <br /> L (209)463-8636 <br /> I <br /> STATE ZIP CODE 3 of TANKS 2 <br /> T c rr Stockton, Ca. 95206 at SITE <br /> A APPLICANT/BILLING NAME Same as above APPLICANT CONTACT NAME Same as above <br /> P <br /> r <br /> L <br /> I MAILING ADDRESS APPLICANT PHONE N WIN AREA CODE <br /> C Same as above Same as above <br /> A <br /> R CITY STATE ZIP CCDE TYPE of APPLICATION <br /> T Same as above CLOSURE, INSTALLATION, etc.Removal <br /> A TOTAL <br /> C 1986 1987 1988 1989 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) = 3100.00 <br /> 1 5 <br /> V <br /> E TANK FEE = 550.00/TANK (prior to January 1,1991) 3170/TANK (after January 1, 1991) <br /> F R tanks = TTY-fee1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> A (miltipiy TTY-fee for <br /> C each year applicable) 5 <br /> I <br /> L STATE SURCHARGE = 356.00 each TANK (Due every 5 years) See Callfornia H 6 9 Code, Section 25287 <br /> I3 Tanks A 356.00 1986 through 1990 1991 through 1996 <br /> y (enter ,t <br /> and year) <br /> 3 <br /> PERMANENT CLOSURE (Removal or Authorized Closure-in-Pleee) TANK I.D. U(s) <br /> C <br /> L CLOSURE FEE = $53.00 per hour (3 hours minimum per TANK) A TANK(s) 2 X $159.00 • 15318.00 <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for review/inspections) TANK I.D. O(s) <br /> R <br /> E TEMPORARY CLOSURE FEE = 3150.00 each TANK 0 TANK(s) X 9150.00 = S <br /> P PLAN CHECK (Install. Plan Review A Construction Inspections) TANK I.O. /(s) <br /> L <br /> A <br /> N PLAN CHECK FEE - 353.00 per hour (8 hours minimum per Facility) = $424.00 minimum S <br /> R REPAIR FEE (workplan review 6 construction Inspections) TANK I.D. 3(s) <br /> E <br /> P TANK REPAIR FEE = 353.00 per hour (3 hours minfnWTANK) 0 TANK(s) X 3159.00 = 3 <br /> A <br /> I <br /> R PIPING REPAIR FEE = $53.00 per hour (3 hour minimum per facility = 5159.00) 5 <br /> N CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> I <br /> S <br /> C FEE = 553.00/hr FEE = 353.00/hr FEE LL!-1.00/hr <br /> TOTAL DUE T <br /> OYFICE USE ONLY <br /> dA(QfrtA'7 T "fiTfT'c81E"' �"fELroll"" �ItIY!(f"" REc'EYtlE(f°Yt�""' '"lf�41'"f 'tIVE(f=" <br /> s 3 <br /> ••• IY•.wY.IW MTYTNw M=nY"�w. (11.1�(1111M Y.M IM=iwrM i.wM w1.....ww1...M YMw <br /> M am moon a=amr Mt alla}W Mm1M MmAa=amfNMaer/Mm' ..wMiM[mMAaIMM AM arae=Aw A=m'Aw mawAWm4NaWANlmeaf =)mewmw AMAIY A=:maYA=nwa as amrwaamr wa/ <br /> EN 23 032 (REV 1/10/91) ft � Ale/ Peae 11 <br />