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04-03-2001 08!40RM FROM TO 3681851 P,01 <br /> UNDERGR`,ND STORAGE TANK PROGRAMML�/WORKSHE <br /> F 'LHEALTH ET <br /> ET <br /> FACILITYIAM9 FACILfTYCO TACTNAME <br /> San Joa uin Cty Mosquito Control John Stroh <br /> FA ILITY AOD ES SITE P O E N --WrAREA C E <br /> 200 N. Beckman Rd. 209 982-4675 <br /> STATE P pE OF AN AT SITE <br /> Lodi , CA 95240 3 <br /> APPLICANT IW GNAME APPLICANT CONTACT AME <br /> PLICANT AILING AD RESS Martin Thor e <br /> APPLICANT PHONE 8 WITH AREA CODE <br /> P.O. box 357 209 368-6175 <br /> ITY TA 21PCODE CIRCL WORKTOREDONE: <br /> Lodi, CA 95241-0357 CBsule i"tanation Repair Retrort <br /> ACTIVE FA ILI <br /> 1896-1989 2000 2001 <br /> $500 FEE INCLUDES FACILITY FEE+ I TANK . (5170)XINt.v*s)X(0ofY. applica ) <br /> S125 PER TANK AFTER FIRST TANK <br /> $ <br /> TANK PENALTY ' ESSED $ <br /> TANK SURCHARGEw !TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INv6NTORY IN A CUPA PROGRAM=$101 FACILITY $ <br /> E ENT CL URE <br /> R¢Maval Permute dos na in PlaOe <br /> TANK 10 8 s CLOSURE FEE $261 1 TANK tt TANKS X 461 s <br /> TEN RARY CL SURE <br /> Plan ROAM and I 'ons <br /> TANK ID N g TEMPORARY CLOSURE FEE=$281 /FACILITY $ <br /> NSTALLA ON <br /> HE <br /> Ron Check and Conal) 0n Ing ctlons _7 <br /> TANK ID#{g1: PLAN CHECK FEE:$686!FACILITY $ <br /> R PAIR LAN HE K <br /> TANK ID ifs <br /> TANK LINING REPAIR FEE = 281/TANK nN <br /> TANK RETROFIT REPAIR FEE =$261/FACILITY PIPIN REPAIR FEE = 251/FACILITY <br /> M1 C US <br /> TRANSF FEE • $20 $ <br /> OONSU TATION E w r/HOUR $ <br /> NA ORI2E RELEASE EVALUATION FEE : uiHOUR <br /> 1 SAMPLING INSPECTION FEE w S 871 HOUR $ <br /> ♦ nlTl'-7R"4! II-T��^�UKbI RATe TIME THAT EEE SF •-•---- <br /> t1X EES i D WALL EE BILLED TO A?aLICANT. <br /> OFFICE USE ONLY <br /> AEI RE a6T Ii FAC TYI PMOUNTRECEIVEp CNECKn <br /> SR ,RECEIVE08 TA <br /> DAREG!VED <br /> Sz wz IRlV s 1 III <br /> TOTRL P.01 <br />