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SAN JO(DUIN ^LINTY PUBLIC HEALTH SERVICES - ERVIRCHMENTAL NF\LTH DIVSION <br /> ERGROUND STORAGE TANK PROGRAM - FEE WORKSHF <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> I Stockton Steel Tom Juano <br /> T <br /> E FACILITY ADDRESS SITE PHONE with AREA CODE <br /> 3003 E. Hammer Lane (209) 956-4751 <br /> a <br /> CITY STATE ZIP CODE R of TANKS <br /> A Stockton CA 95208 et SITE 4 <br /> P APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> iDECON Environmental Services, Inc. Sean Anderson <br /> r� C NAILING ADDRESS APPLICANT PHONE 0 WITH AREA CODE <br /> A 23490 Connecticut Street (510 732-6444 <br /> N <br /> T CITY STATE ZIP CODE TYPE of APPLICATION Closure & insitallai ion <br /> Hayward CA 94545 (Ctosure, Installation, etc.) (abovegroun ) <br /> TOTAL <br /> 1986 1987 1988 1989 1990 <br /> ,, ANNUAL FACILITY FEE (Prior to January 1, 1991) _ $100.00 <br /> A S <br /> C <br /> T FACILITY PENALTY FEES ASSESSED (If Applicable) )D= )=X S <br /> I <br /> V TANK FEE _ $50.00/TANK (Prior to January 1,1991) $170/TANK (After January 1, 1991) <br /> E <br /> 0 Tanks 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> F (multipty C by fee for <br /> ,11 A each year applicable) S <br /> C <br /> 1 TANK PENALTY FEES ASSESSED xxxx xxxx S <br /> L <br /> I STATE SURCHARGE - $56.00 each TANK (Due every 5 years) See California H a S Code, Section 25287 <br /> T <br /> Y 0 Tanks x 556.00 1986 through 1990 1991 through 1996 <br /> (Enter amount and year) <br /> S <br /> C PERMANENT CLOSURE (Removal or Authorized Closure-in-Place) TANK I.D. Vs) <br /> — <br /> L <br /> O CLOSURE FEE _ $78.00/hour (3 hours minimum/TANK) f TANK(s) 4 x $234.00 = s936.00 <br /> S <br /> U TEMPORARY CLOSURE (Plan Review a Inspections) TANK I.D. 4(s) -� <br /> R <br /> E TEMPORARY CLOSURE FEE _ $78.00/hour (3 hours minimum/TANK) 9 TANK(s)_ X 5234.00 = f <br /> P INSTALLATION PLAN CHECK (Plan Review a Construction Inspections) TANK I.D. /(s) <br /> L <br /> A <br /> N PLAN CHECK FEE _ $78.00/hour (8 hours mini mum/FACILITY) _ $624.00 minimum S <br /> R REPAIR FEE (Workplan Review a Construction Inspections) TANK I.D. !(s) <br /> E <br /> P TANK LINING REPAIR FEE - 178.00/hour (3 hours minimum/TANK) I TANK(s) x $234.00 9 <br /> A <br /> I TANK RETROFIT REPAIR FEE _ $78.00/hour (3 hours min./FACILITY) _ $234.00 minimum f <br /> R <br /> PIPING REPAIR FEE = 578.00/hour (3 hours minimm/FACILITY) _ $234.00 minimum $ <br /> N TRANSFER FEE _ $20.00 UNAUTHORIZED RELEASE EVALUATION - $78.00/hr $ <br /> S <br /> C CONSULTATION FEE _ $78.00/hr SAMPLING INSPECTION FEE _ $78.00/hr f <br /> TOTAL DUE f <br /> FOR OFFICE USE ONLY <br /> SWEEPS B COMPUTER M LOC CODE DIST CODE AMOUNT RECEIVED CHECK M/CASH I RECEIVED BY DATE RECEIVED <br /> a s <br /> a f <br /> .me as e_na�a . <br /> EH 23 032 (REVISED 11-1-92) Page 11 <br />