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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM . FEE UCRKSHEET <br /> FACILITY SITE NAME ;FACILITYNTACT NAME <br /> eColor Spot Inc. <br /> G osta <br /> 1 FACILITY ADDRESS N with AREA CODEL5400 E. Harney Ln. (209) 333-0235 <br /> I <br /> CITY Lodi, STATE ZIP CODEof TANKS <br /> Ca. 95240SITE 2 <br /> A APPL tCANT/BIlLINO NAME APPLICANT CONTACT NAME <br /> P <br /> Same as above <br /> ( Same as above <br /> I MAILING ADDRESS APPLICANT PHONE 0 WITH AREA CODE <br /> C <br /> A <br /> N CITY STATE ZIP CODE TYPE of APPLICATION <br /> 1 CLOSURE, INSTALLATION, etc. Removal <br /> A TOTAL <br /> C 1986 1987 1988 1989 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) !100.00 <br /> 1 11 <br /> Y <br /> E TANK FEE • 1150.00/LANK (prior to January 1,1991) 11170/TANK (after January 1, 1991) <br /> F I Tanks • 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> A (multiply ivy fee for <br /> C each year applicable) <br /> I f <br /> L STATE SURCHARGE • *56.00 each TANK (Due every 5 years) See California H B S Code, Section 25267 <br /> 1 <br /> 1 / Tanks N $56.00 1986 through 1990 1991 through JR96 <br /> T (enteranrotnt and year) <br /> PERMANENT CLOSURE (Removal or Authorized Closure•In-Place) TANK 1.D. B(e) <br /> C <br /> L CLOSURE FEE • $53.00 per hour 0 hours minimum per TANK) B TANK(s) 2 X $159.00 * 318.00 <br /> 0 <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for review/inspect lorn) TANK I.D. B(a) <br /> R <br /> E TEMPORARY CLOSURE FEE • $150.00 each TANK H TARK(s) X $150.00 f <br /> P PLAN CHECK (Install. Plan Review B Corn tructlon Inspections) TANK 1.0. B(s) <br /> L <br /> A <br /> N PLAN CHECK FEE . $53.00 per hour (B hours minlsum per Facility) a $424.00 minlatu 11 <br /> R REPAIR FEE (workplan review f corstructicn Inspections) TANK I.D. B(a) <br /> F <br /> P TANK REPAIR FEE • 953.00 per hour 0 hours minlwWTANK) B TANK(s) <br /> A X 11159.00 • f <br /> -- <br /> I <br /> R PIPING REPAIR FEE • $53.00 per hour (3 hour minimum per facility • $159.00) $ <br /> M CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> I <br /> S <br /> C FEE • *53.00/hr FEE • 1153.00/hr FEE • 11 53.00/hr <br /> TOTAL DUE $318.00 <br /> OFFICE USE ONLY <br /> wilYi'�i:Awww:T«»:»AAiiAAw:I:ww:ww:»:Iww::»ww..M..iiw"r'ir'rri w"wiwwwri'iiwiJw�i•••.w'iiiwiwri"�"--i.wi�wwi�w <br /> ,"'s1E@0Oi"7"' r71dHY ibE" "dritf"L'w 'w-m)pY"k'1d!"" 11�LCL"7Jtlltf•" pEL'ErGEft"4i4 "I 1'�HE'Ck'1UCf!"` <br /> f A�L,JJF <br /> 40 <br /> I:.w....M•..w.._r•M..•.M•_••.•.rYm..•.'.••"'•'M•'•Am•m111w11r Mma'1mMw•,MmrMmwIIrMmeYAlM••Y MMrNwN MMmN 1m�f•.MM$ImWlSwy MwIYmJM•1m11w-1[MUMMlm11M„ mW,mI,w,,,mMlN•emY,errMmNaMmMw•amMamMeam`�w1Y a•,wmrMwm11HYMMwMaMaMwrMw1aMm <br /> •IO�.. . ...... <br /> me eAw1 <br /> w <br /> •mMlMiwITA,w <br /> � <br /> 'm 21 017 rKw lilwoll 1♦ - . <br />