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SAN SOAQUiWt66AL HEALTH DISTRICT <br /> OR6ROUND STORAGE TANK PPASRAM - FEE WORKSHEES <br /> FFAIILIIIIE <br /> FACILITY CONTACT NAME <br /> rt of Stockton Aldo Freggiaro <br /> 01 W. Washington, Port P,oad 21 SITE PHONE 1 (with Area Code) <br /> ockton CAockton STATE ZIP CODE f of TANK'S <br /> CA <br /> STATE <br /> at Site <br /> P APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P Port of Stockton Aldo Freggiaro <br /> L <br /> I MAILING ADDRESS APPLICANT PHONE 1 (with Area Code) <br /> A P. 0. Box 2089 <br /> N CITY STATE IIP CODE TYPE of APPLICATION Tank <br /> T Stockton, CA (Closure, Installation, etc.) Removals <br /> A FACILITY FEE _ $100.00 each SITE ADDRESS per YEAR TOTAL <br /> T 1986 1987 1988 1989 <br /> I f <br /> V <br /> E TANK FEE _ $50.00 each TANK A <br /> F 1 Tanks x $50.00 1986 1 1987 1 1988 1939 C F <br /> A (multiply-1-by fee for <br /> C each year applicable) <br /> I <br /> 1 STATE SURCHARGE = 156.00 each TANK (see CA HEALTH f SAFETY CODE Sec .5287 for <br /> T ! tanks x 156.00 1986 1987 1988 198 /p T9 <br /> Y (enter ii55nt and year) <br /> C PERMANENT CLOSURE (Removal or Closure-in-place) <br /> L <br /> 5 CLOSURE FEE = t90.00 each TANK 1 Tanks---4- s 190.00 f 360.00 <br /> U <br /> R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br /> E <br /> TEMPORARY CLOSURE FEE _ $80.00 each TANK ! Tanks x $80.00 f <br /> P PLAN CHECK (Installation ar Repair) <br /> l <br /> A <br /> N PLAN CHECK FEE _ $30.00 each SUBMISSIONIRESUBMISSION f <br /> R REPAIR <br /> P TANK REPAIR FEE _ $110.00 each TANK 1 Tanks _ a 1110.00 f <br /> A <br /> R PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum one hour to be paid on plan submittal) <br /> UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION SAMPLING <br /> (when applicable) INSPECTION INSPECTION <br /> FEE _ $30.00/hr FEE _ (35.00/hr FEE _ (35.00/hr f <br /> tarAl Did 1 3� o <br /> OFFICE USE ONLY <br /> SWEEPS 1 COMP t LOC CODE DIST CODE AMOUNT DUE AMOUNT RCVD CHECK ASH RCVD BY DATE RECEIVED PERMIT 1 <br /> ia37 �� f2o �'la0° 3(pU �� 33/ �o I <br /> a <br />