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NOW <br /> SAN JOAQUIN COUNTY PUBLIC REALM SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM -FEE WORKSHEET <br /> I FACILITY SITE NAME FACILITY CONTACT NAME <br /> I Sun West Liquors Jams, Anagnas <br /> E FACILITY ADDRESS 2449 W. Kettleman Ln. SITE PHONE R with AREA CODE (2)333-1036 <br /> A <br /> CITY STATE ZIP CODER of TANKS <br /> A Lodi, CA 95242 at s17E 3 <br /> P <br /> APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> I ___ __James Anaenos c/o Dime MaraFTos <br /> C MAILING ADDRESS APPLICANT PHONE R WITH AREA CODE <br /> M 847 N. Cluff Ave. (209)333-1036 <br /> T CITY Jodi, SLhATE ZIg6W <br /> (Closure, installation, eteJ Val <br /> TOTAL <br /> A TANK FEE _ $50.00/TANK (Prior to January 1,1991) 2170/TANK (After January 1, 1991) <br /> C <br /> 1 R Tanks 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> 1 (wltiply r- y fee for <br /> N each year applicahl e) XXXX XXXX xxxx XXXX XKXX f <br /> E <br /> TANK PENALTY FEES ASSESSED XX%X XXXX %XX% %XXX %X%% t 1 <br /> ISTATE SURCHARGE = S56.00 each TANK (Due every 5 years) See California H A S Code, section 25287 II <br /> E R Tanks x $56.00 1986 through 1990 1991 through 1996 I <br /> (Enter amount and year) j <br /> t <br /> C PERMANENT CLOSURE (Removal or Authorized Closure-fn-Place) TANK I.D. R(a) <br /> L — <br /> 0 CLOSURE FEE = 978.00/hour (3 hours mini"/TANK) R TANK(s)_3_ X $234.00 S <br /> g —_— <br /> 1 702.00 <br /> U TEMPORARY CLOSURE (Plan Review 6 Inspections) TANK I.D. R(a) <br /> R — <br /> E TEMPORARY CLOSURE FEE = S78.00/hour (3 hours minimus/FACILITY) 1234.00 minimus Ts <br /> — <br /> E <br /> INSTALLATION PLAN CHECK (Plan Review t Construction Inspections) TANK I.D. R(s) <br /> A <br /> N PLAN CHECK FEE = $78.00/hour (8 hours mfnf"/FACILITY) 9624.00 minfi m - t <br /> R REPAIR FEE (Workplan Review f Construction Inspecti ons l TANK I.D. R(a) <br /> E - <br /> a TANK LINING REPAIR FEE , 278.00/hour (3 hours mfnl"/TANK) R TANK(s) X 1234.00 = s <br /> 1 TANK RETROFIT REPAIR FEE _ 178.00/hour (3 hours min./FACILITY) - 2234.00 minim m S <br /> R - <br /> PIPING REPAIR FEE = S78.00/hour (3 hours minimm/FACILITY) $234.00 minfmm t <br /> M TRANSFER FEE = 520.00 UNAUTHORIZED RELEASE EVALUATION - 178.00/hr f <br /> 1 <br /> C CONSULTATION FEE 178.00/hr SAMPLING INSPECTION FEE = $78.00/hr t <br /> TOTAL DILE 702.00 <br /> iDrug�nII�)�ONItlmmamnmmmm�mmmmin�mmimmmammrmirru�rtz�rs¢e:rtmFeram-rtn^arl2s�r¢mnm�r , �rrmmmmns®rmra�mmn� <br /> t0� ( � SII �7r � i11v �k��16i�� A% � ��E!F � �i � V <br /> ED nmmn <br /> Nmm*mm�mnsmmFmmni n <br /> ..::. Bi:- <br /> EN 23 046 (Revised 9/11/96) Page 11 <br />