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SAN JOAOUIN COUNTY MUELIC NEALTH SERVICER - ENVIRONMENTAL NEALTN DIV110N -- 7 -613 <br /> UNDERGROUND STORAGE TANK PROCRMI - FEE %MSHEET ` <br /> I FACI ITY SITE NAND <br /> [ .e /AGILITY ODNTACI MANE <br /> T <br /> E FACILITY , RES! <br /> ' SITE PWMI / With AREA CODE <br /> CITY <br /> A STAIRZ[r CODE ! o/ TAXK1 <br /> P �✓ �� at SITE <br /> P AP , TAILLIM NAME <br /> L APPLICANT CONTACT NAME <br /> I <br /> C NAILING ADDRESS <br /> _ APPLICANT PHONE 0 VITO AREA CODE <br /> I CITY !TATE zip N TTP APPLICATION <br /> losur Installation, etc.) f� <br /> TOTAL <br /> A <br /> AMISJAL FACILITY FEE (Prior, to Jrrwry 1, 1941) $100.00 1966 IW 1968 1969 1990 <br /> C <br /> T FACILITY PENALTT FEES ASSESSED (it Applicable) 140(x x10O( <br /> I $ <br /> v TANK FEE • S30.00/TANK (Prior to January 1,1991} <br /> S 5170/TANK (A/tar Jrrr+gry 1, 1991} <br /> 0 Tanks a 1986 196! 1968 1969 1990 1991 Ml 1995 1994 1995 1996 <br /> F (multiply 1' las for <br /> A each herr sppticable) <br /> S <br /> I TANK PENALWT FEES ASSESSED xxxx xxxx <br /> Lwx� $ <br /> I (TATE SURCNMOE • $96.00 each TANK (Due every S years) <br /> r Sao Glllornla N i S Code, Seetlon 25287 <br /> T I tanks R $96.00 1966 through 1990 1991 through 1996 <br /> (Enter as amt and year) <br /> S <br /> C PERNANENT CLOSURE (Rearm or AutharltadClosure-In-►laee) YANK I.D. 1<(a) <br /> L <br /> 0 CLOSINIE FEE is $78-00/hour (3 h0urs •InINWTANK) 6 tANK(s) K !231.00 S <br /> ej- <br /> U TENPORARY CLOStSIE (Plan Raviow E ImpsotIOM), TANK 1.0. t(s) <br /> R <br /> E TINPORART CLONE FEE a $78.001h0ur 13 hOuH Miniaaat/FACILITTI s $231.00 Miniaraa <br /> s <br /> mill <br /> P INSTALLUJON PLM CHECK (Plan Review i Construction IrrpsttlpN) TANK I.O. R(a) <br /> L <br /> A <br /> N PLAN CHECK FEE a f?8.0O/h0ur (d hours ■In1nWFACILI1T) r $624.00 rinlMu• <br /> S <br /> R REPAIR In (Yorkptan Nevlew E Construction Inspactton•) TANK 1.0. a1(s) <br /> E <br /> r WANK LINING REPAIR FEV a $7N.00/hour U hour• MinIaWTANK) ! TINlK(a) _�, N 5231.00 . <br /> A <br /> 1 TANK OSTROM REPAIR FEI a S7N.00/hour (3 hour• t#la./FACILlty, r 5231.0Q Mlnlraw <br /> R = <br /> PIPING REPAIR FEE a 478.00/hOUP (3 h0ura MIMMIAMCILITY) • $234.00 sInIwA <br /> s <br /> 4 TRANSFER I'll a $20.00 IRIAUTN0R1ZE0 RRLEASE RVALUATION a $72.D0/hr <br /> I S <br /> $ 11 <br /> C CONSl1LM11011 in a 04.00/hr �AIIPLtNA IMSPECtION pit - - -• lfK.00/hr ai � $ t)C, <br /> TOTAL DILE <br /> FOR OFFICE USE ONLY <br /> • <br /> ow ana <br /> usages aIamoan m� alai <br /> EN 23 032 fReViSEO 3.1-931 Poo* 11 "�a""a waruarwoe <br />