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SAN JOAQUIN MMTY PUBLIC HEALTH SERVICE! - ENVIROMNTAL IIEALTM DIYl10M TS <br /> UMERGNCt" STORAGE TANK PROGRAJI - FEE W IMCIT / ! <br /> S FACT I ![T[ FACILITY CONTACT Kw <br /> E FACILITY `�E7t SITE PHONE I with AREA CUD! q V <br /> a P lIWEq <br /> ll <br /> CETT 5 .t°:ITe� MAY f <br /> A �- f <br /> v <br /> F AP T/1lLlIl�O NAS APPLICANT CCaI1ACT NAFIE AU Lr�OA4U1N CQUN Y <br /> ¢ HEALTH S <br /> 1 ES <br /> C NAILING AOORTtl1 APPLICANT PHCM1 1 UTIN AREA CGDE STH U! 1Sff3AI <br /> T CITY NSTATE I i ► =pf TTP APPLICATION <br /> Installation, etc.) Q'ij?. <br /> TOTAL <br /> AML FACILITY FIX (Prior to January 1, 1991) ■ 1100.00 1966 1967 1960 t9" 1990 <br /> A WA <br /> C S <br /> T FACILITY PENALTY FEES ASSESSED (it Appl)eabil) )pOH X700( Zt <br /> I <br /> V TANK FES + 130.00/TAW (Prior to Jannry 2,1491) 117011ANK (After Irnanry 1, 1941) <br /> E <br /> / Tanks s 1466 1407 19180 1409 (440 1991 199? 1495 1994 1445 19% <br /> F (multiply Thi-ts* For <br /> c **ch yser appliceble) 1 <br /> 1 TANK PENALIT FEES ASSESSED )DOD( ).x ! <br /> t <br /> 1 !TATE SLMICNANOI ■ 156.00 each TANK (Due *very S years) 11=c lif MIa N i ! c I"I Z taction 25207 <br /> T <br /> T / Tank• it 156.00 19" through 1990 1991 through 1446 <br /> (Int*r awoant and year) <br /> C PERWAINT CLOCAS (1161mml or Authorltd Ctoearr ln-Placa) TANK I.D. !(a) <br /> L <br /> 0 CLOW" FEE + 11*00/hour (3 hours sinimmVTANK) 0 TANK(s) x 12U.00 . S <br /> U TEMPORARY MOlUtt (Plan Rsviev A Inspactlan)' TANK J.D. I($) <br /> R <br /> E TIWMAT CLOSURE FEE a 170.00I110Wr (3 hours sininwrACILITY) is 5234.00 GiniM 1 <br /> P INSTALLATION PLAN CRICK (Plan Revive A C"trWtlon Inewtlont) TANK I.D. I(el <br /> L <br /> A <br /> S PUN CRECK FEE is S78.00Aaw (d hot" slnimWFACILITT) • 5624.00 ■inl" S <br /> R REPAIR FES (U*rkpten Review i C;:tnuotion Inepoctlans) TANK [.D. R(a) <br /> E <br /> P TASK LINING REPAIR FEE * 17/.00/110ur 0 how$ minlOWTANK) I TANK(!) x SM.00 . S <br /> A <br /> I TANK 111120FiT REPAIR FEE a 17=-00/her (3 heart join./FACILITY) a 5234,00 minion 1 <br /> R <br /> PIPING RIPAIR FIE r 4711.0011100 (3 hour* slnlw-W►ACIL1tr) ■ $234.00 ■infam 1 <br /> M TRANSFIR FII + 120.00 UTAUTNORI2I0 RELEASE IYALUA1104 a $78.00/hr S <br /> 1 <br /> S <br /> C COMM11`411010 FES * 578.00/hr ItANK104 111"tetiON F11 ■ $18.O01hr pa ' eL : O <br /> TOTAL D(1E °7 <br /> /OR 0F►[Cl USE: ONLY J L� <br /> a MUM <br /> �► ��icrwa=g ■"s IW .:Y� i,:� =+�gag=.r. �rali N�i,w1 Ci3�i iMQ aiT. iit�iiiltA iR <br /> man wa>,n �aaear.sr a�1e+a�mAerMa#�aie�laew �wwry.wwn annaln� ar enmrlr*isalae�w �wrrrrr■M+rrssw <br /> IN zs 032 (REviSEO ;-1-937 Pao* t1 • <br />