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QnrvuAuully Lue:AL HEALTH DI`"+TRICT <br />GERGROUND STORAGE TANK PROGRAM - FEE YORKSHIS <br />C <br />FACILITY FEE = 1100.00 each SITE ADDRESS per <br />YEAR <br />F <br />FACILITY/SITE NAME <br />FACILITY CONTACT NAME <br />A <br />G <br />y/ <br />— <br />l <br />L <br />STREET ADDRESS <br />/ <br />SITE PHONE 1 WITH AREA coot <br />1 Tanks r $90.00 <br />f � N <br />C <br />T <br />1986 <br />19(1) <br />1988 <br />1989 <br />Y <br />CITY �JN <br />ST T <br />IIP CODE <br />1 of Tanks <br />Site <br />L -(' <br />FEE = <br />V <br />at <br />A <br />APPLICANT/BILLING NAME <br />APPLICANT CONTACT NAME <br />P <br />TOTAL DUE <br />E <br />P <br />L <br />I <br />MAILING ADDRESS <br />APPLICANT PHONE 1 WITH I"fA couf <br />C <br />1 Tanks1 $50.00 <br />1996 <br />A <br />N <br />CITY <br />STAT <br />IIP CODE <br />TYPE of APPLICATION <br />I <br />Uultlply_ I_ by fee for <br />CLO.WIIf. I"mT"LLwrlO", frC. <br />C <br />FACILITY FEE = 1100.00 each SITE ADDRESS per <br />YEAR <br />R TANK REPAIR FEE = 1110.00 each TANK <br />TOTAL <br />A <br />— <br />0 <br />CLOSURE FEE = $90.00 each TANK <br />1 Tanks r $90.00 <br />t <br />C <br />paid on plan submittal) <br />1986 <br />19(1) <br />1988 <br />1989 <br />U <br />I <br />1 <br />R <br />TEMPORARY CLOSURE (Only allowed one time for up to two years) <br />E <br />FEE = <br />V <br />TEMPORARY CLOSURE FEE = $00.00 each TANK <br />anks r 100.00 <br />S <br />TOTAL DUE <br />E <br />TANK FEE = 550.00 each TANK <br />f <br />1 Tanks1 $50.00 <br />1996 <br />1907 <br />1988 <br />1999 <br />A <br />Uultlply_ I_ by fee for <br />C <br />each year applicable! <br />l <br />L <br />STATE SURCHARGE = 556.00 each <br />TANK (see CA <br />HEALTH L SAFETY CODE Sec 15187 for applicability) <br />I <br />T <br />I Tanks f $56.00 <br />1996 <br />19q--TL <br />1909 <br />Y <br />(enter iiouit and year) <br />j 6 <br />t <br />C <br />PERMANENT CLOSURE (Removal or Closure -in-place) <br />R TANK REPAIR FEE = 1110.00 each TANK <br />L <br />PLAN CHECK FEE = 130.00 each SUBMISSION/RESUBMIS I NAl R o�N COUNTY <br />S <br />0 <br />CLOSURE FEE = $90.00 each TANK <br />1 Tanks r $90.00 <br />t <br />P <br />A PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum one hour to be <br />paid on plan submittal) <br />1 <br />R UNAUTHORIZED RELEASE EVALUATION <br />(when applicable) <br />S <br />U <br />R <br />TEMPORARY CLOSURE (Only allowed one time for up to two years) <br />E <br />FEE = <br />535.00/1hr <br />TEMPORARY CLOSURE FEE = $00.00 each TANK <br />anks r 100.00 <br />S <br />P <br />PLAN CHECK (Installation or Repair) RECEIVED <br />R TANK REPAIR FEE = 1110.00 each TANK <br />N <br />PLAN CHECK FEE = 130.00 each SUBMISSION/RESUBMIS I NAl R o�N COUNTY <br />S <br />..0 AI T bt K V I � . - <br />REPAIR <br />ENVIRONMENTAL H <br />R TANK REPAIR FEE = 1110.00 each TANK <br />1 Tanks <br />: 11 10.00 <br />t <br />P <br />A PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum one hour to be <br />paid on plan submittal) <br />1 <br />R UNAUTHORIZED RELEASE EVALUATION <br />(when applicable) <br />CONSTRUCTION INSPECTION <br />(when applicable) <br />SAMPLING IHSPCCTION <br />(when applicable) <br />FEE = 530.00/hr <br />FEE = 535.00/hr <br />FEE = <br />535.00/1hr <br />$ <br />TOTAL DUE <br />1� <br />OFFICE USE ONLY <br />SWEEPS 1 I COMP 1 ILOC CODEIDIST CODEI AMOUNT DUE I AMOUNT RCVD ICCHECK MASH I RCVD BY I DATE RECEIVED <br />PERMIT 1 <br />