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I" JOAQUIN WATT PUOLIC HEALTH SE#VICE! - ENVIRONMENTAL MIALtN OIVlIOII ��,� (r'� <br /> tMINGROUID STORAGE TANK PROCRAII - FEE wO4KfHEIT e <br /> zB <br /> ! FACT TY SITE NAME d FACILITT CONTACT NAM# <br /> 1 <br /> T <br /> -46aaza <br /> if[FACILITYAIJbIte5PHONEss SITE D with ARRA CCO! <br /> i <br /> A CETT A 21P =11I at TANK! <br /> P i �� at SITE <br /> P AP , T/11LLI" NAME APPLICANT CONTACT NAME <br /> L ¢ <br /> I <br /> C MAILING ADORES=— APPLICANT PNCNt t} 111 TN AREA DDDR <br /> A <br /> T CETT !TATE ZIP imot TTP APPLICATION <br /> iaeur Installation, etc.)_MEL Im <br /> TOTAL <br /> A ANNUAL FACILITT FEE (Prior to Jwanry 1, 1991) ■ !100.00 t"6 IM 19013 1409 1990 <br /> C 6 <br /> T FACILITT PENALTY FEE! ASSESSED (IF Applicable) ritOQt ID001 : <br /> I <br /> V TANK FEE ■ SSO.00/TANK (Prior to January 1,1991) !170/TANK (Altar January 1, 1991) <br /> E <br /> 1 tanks • 1906 1961 1900 19A9 1990 1991 1992 1990 1994 1995 1996 <br /> F (=A T t5'r fas for <br /> Ceach Year appltcebts) 6 <br /> I TANK PENALTY FEE/ ASSESSED XKXX M= 6 <br /> L <br /> I STATE IMCMAROE ■ 156.00 nch TANK (Due every Strews} <br /> T !es Glllornls N i ! cods, Section 25101 <br /> Y 1 unite R 6S6.00 1906 through 1990 1991 through 1996 <br /> tinter sevnt and year} <br /> C PERMANENT CLOSM9 (Remove! or Authorild Ctesure-In-Ptsee) TANK I.D. #(a) <br /> L <br /> 0 CLOME FEE a 6711.001haur (3 hetes wlnla mVTANK) I TANK(s) >< !236.00 ■ ! <br /> S <br /> U TEMPORARY t:LOltlwE (Plan Ravlw 6 Ings dam), TANK I.D. Its) <br /> R <br /> # I'DWOMY CLOVAR FEL • 8711.00/haur (3 hourf MIInloWFACILITT) • !236.00 Mlnlaan 1 <br /> P INITALLAtIOI PLAIT CHECK (Plan Eavlahl R C&Wtructldn Inspections) TANK 1.0. /(a) <br /> L <br /> A <br /> N PLAN CNECK FEE if 670.00/hour (A hours mlnlaWYACILITT) t 0624.00 •InIa g 1 <br /> R REPAIR FIE (1lorkptsn Revlw ; Constructlon Inspsctlone) TANK I.D. i(a) <br /> E <br /> P TANK LINING IEPAIN FEE • 670.00/hour (3 haunt IHnIOWTANK3 i YANK(s) >< !1214.00 • _ <br /> A <br /> I TANK RETROFIT IMPAIR FEE • l7111.00/hour (3 hours win./FACILITY) a 12]4.00 minimus = <br /> R <br /> PIPING IMPAIR FEE a 671.00/hOw (3 hour! ■In1a WFACILITY) a 5234.00 minima 1 <br /> N TRANSFER FEL a tn.00 U RNOR12IO EELIA11 IVAUJAT100 a 67E.00/hr <br /> I <br /> f <br /> t coNstilt>�TIOII FEL • l7E.o0Ihr <br /> OWING INIPECTION FEE ■ /7s).f70/hr �` � 6 n a <br /> TOTAL DILE i <br /> FOR OFFICE USE ONLY , <br /> winamilffl-w_ __ <br /> iw s'a�i rmiiaear�ieesra�iaaMer'�ire'"iwea a�ia' a S '�� ■moi C AliiSi ii."i.i!a#;i#,�aii <br /> ah��iws"��rsnre�w a�aaasararasr�i �ha�e�a�i ��aaara�lari�arf rrwetsaNe.K,wirarar <br /> EM 23 032 tR#V1t0F0 3-1-431 . Pace 11 • <br />