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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES r <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM • FEE WORKSHEET <br /> FACILITY SITE NAME FACILITY CONTACT MANE <br /> F <br /> A Nick Meintasis Nick Meintasis <br /> c <br /> I FACILITY ADDRESS SITE PHONE 0 with AREA CODE <br /> L in6nf; F. Kimhprllz Dr- [�)QQ) 222 9828 <br /> 7 CITY Manteca STATE Zj51Q6 at SI TEAS <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P Nick Meintasis Nick Meintasis <br /> L <br /> I NAILING ADDRESS APPLICANT PRONE ! WITH AREA CODE <br /> C Dr. (209)823-582 <br /> N CITY Manteca TATE ZIP TYPE of APPLICATION <br /> La. 9� CLOSURE, INSTALLATION, ete.Removal <br /> TOTAL <br /> A <br /> C 1986 1987 1 l 8 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) a 5100.00 = S <br /> V <br /> 1/00 <br /> E TANK FEE 550.00/TANK (prior to January 1,1991) 5170/TANK (after Januery 1, 1991) <br /> F R tanks 1986 1987 1988 1989 1990 1991 1992 1993 1996 1995 1996 <br /> A (multiplyT y�fee for <br /> C each year applicable) S . 5 (� W , fS//0 <br /> I <br /> LS TATE SURCHARGE • S56.00 each TANK (Oue every 5 years) See California H 6 S Code, Sectfon 25287 <br /> TIN Tanks x 556.00 1986 through 1990 1991 through 1996 <br /> T- <br /> y (enteramount and year) <br /> PERMANENT CLOSURE (Remove( or Authorized Closure-in-Place) TANK I.D. 1(s) <br /> C <br /> L CLOSURE FEE - $53.00 per hour (} hours mini mtm per TANK) / TANK(s) 1 X 5159.00 <br /> 0 C <br /> S <br /> U TEMPORARY CLOSURE (A one-time permit, for review/inspections) TAMK LD. 1(sY <br /> R <br /> E TEMPORARY CLOSURE FEE = S150.00 each TANK / TANK(s) X 5150.00 S <br /> P PLAN CHECK (Install. Ptan Review d Construction tnspectiormt) TANK I.D. /(s) <br /> L <br /> N PLAN CHECK FEE - $53.00 per hour (8 hours m(nlm per Facility) a 5424.00 mfnfm S <br /> R REPAIR FEE (workplan review Z construction Inspections) TANK 1.D. 0(s) <br /> P TANK REPAIR FEE = $53.00 per hour (3 hours minimus/TANK) N TANK(s) X $159.00 S <br /> A <br /> R PIPING REPAIR FEE = S53.00 per hour (3 hour mfnim per facility a 5159.00) S <br /> MTRANSFER FEE = S20.00 UNAUTHORIZED RELEASE EVALUATION - 553.00/hr 5 <br /> I <br /> C CONSULTATION FEE 153.00/hr SAMPLING INSPECTION FEE - 553.00/hr 2 <br /> TOTAL DUE <br /> 9i!14E:::U:S:aaRH4:Ii............. :-.-,�,.�:.�--,an.:. __ <br /> :i:::i.ii::bi::E..::..... m.mmmnP..ggnmr.:-;minim.::c.::.._:_u.._:::::::::__._.:y'n_,..:.9rntT. m:_ mP.^@n!!^..:.n:.�.r.:.mr;ntvmn!...__...... -- — <br /> •••: .. .. v.}i 111T' n?'a ri9u :Trliil• •— IY''l. InFlm 9"' 1-".: .• •• . <br /> . . .:.- '195Fi0p:�.;-rr: <br /> StifEdSl..ku,J, ,COwdUl�0.��9 � tFs��tCN)E� bfSf C01)E 7�—�iNCUI��' �t�'V�S`' � �I�E��`�����I� � kECrIVEtit9'�rm,�mr�rr��c <br /> II ;a mrn n nA�n!mFrr^irrtmr'rnmr urr'mrm-nm— 'nr'-r^'r �'>•" "ii/mtm: rmrrtamrnnmmmmr mfiriA�i�r mfrr�P n e <br /> ::: a_,< xc tnmiuuemm�wx'nnamvxumunn-;u a un i r i.im.!einr"u'm;i4reinininuua�a�ua'srneaammtixmriwiMnuumnmmreunnreaamn <br /> EH 23 032 (REV 4/8/91) ft Page 11 <br /> _�^/S� 0d <br />