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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE VORKSHEET <br /> i <br /> FACILITY SITE NAME FACILIIT CONTACT NAME <br /> E <br /> Al Pacific Growers Inc. Fred Thomas I <br /> C <br /> I FACILITY ADDRESS SITE PHONE N with AREA CODE <br /> L 10400 E. Hwy 12 <br /> I — <br /> f CITY STATE ZIP CODE N of TANKS <br /> IT <br /> Lodi, C:a. 95240 at SITE 1 <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P <br /> P Pacific Growers Inc. Fred Thomas <br /> L <br /> I MAILING ADDRESS APPLICANT PHONE N WITH AREA CODE <br /> G 32970 Alvardo Niles Rd. <br /> A <br /> N CITY STATE ZIP CODE TYPE of APPLICATION <br /> T Union City, Ca. 94587 CLOSl1RE, INS IALLATICN eta Removal <br /> A TOTAL <br /> C 1986 1987 1988 1989 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) • $100.00 — <br /> I f <br /> V — <br /> E YANK FEE _ $50.00/TANK (prior to January 1,1991) $170/TANK (after January 1, 1991) <br /> F N Tanks a 1986 1987 1988 1989 1990 1991 1992 1 1993 1994 1995 1996 <br /> A (WItlply fee for <br /> C each year applicable) S <br /> I <br /> L STALE SURCHARGE _ $56.00 each TANK (Due every 5 years) See California H A S Code, Section 25287 <br /> I <br /> T N Tanks x $56.00 1906 through 199(1 1991 through 1996 <br /> Y (enter amount and year) <br /> f <br /> PERMANENT CLOSURE (Removal or Authorized Closure-In-Place) TANK I.D. N(s) <br /> C <br /> L CLOSURE FEE • $53.00 per hour (3 hours miniosm per TANK) N UNK(a)_1_ X $159.00 f 159.00 <br /> 0 <br /> S - <br /> U TEMPORARY CLOSURE (A one-tine permit, for review/Inspectloro) TANK I.D. N(a) <br /> R <br /> E TEMPORARY CLOSURE FEE _ $150.00 each TANK M TANK(s) X $150.00 = f <br /> AN <br /> CHECK (ins tai L Plan Review A Construction inspections) TANK I.D. N(s) <br /> hIA <br /> PLAN CHECK FEE - $53.00 per hour (8 hours mini mm per facility) • $424.00 mfnhnm It <br /> R REPAIR FEE (workplan review A construction inspections) TANK I.O. M(s) <br /> E <br /> P TANK REPAIR FEE • 253.00 per hour 0 hours mfnlm.m/TANK) N TANK(s) X $159.00 • f <br /> A — <br /> 1 <br /> R PIPING REPAIR FEE • (53.00 per hour (3 hour minfmm per facility • $159.00) $ <br /> M CONSULTATIONS UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br /> I _ <br /> S \ <br /> C FEE = $53.00/hr FEE _ $57.00/hr FEE • f 53.00/hr j <br /> TOTAL DUE f 15a Qoz/ <br /> Or FICE USE ONLY - <br /> Nj. ............................................................................ . ........................... �- <br /> MMMIM•..MMM...IwW MMiW MMWYMM MM.M.M WMY.M•..M M11xNM WMMMWM.... M., MM.rWr WYwMM M.�M••••••••••M YMMWI..wt MIM,M...a.. .MM <br /> MSp�F�S">iM l+f}11!g7"" "s "'�'S'r"Ar "101aJIPf"AL�II"" �ICd�"�/��lII"" C�LtlEff"ti1 "'NX1'r'"1{�CE'rgr? W" <br /> HcGf is — ��0 73 "s <br /> ww wM wMM MMM MMNMMM..M w......W MW MYwM.... "wi MMw wwM,MM....w w'ixi••••••••••••••••••••••.. (/qqA�.•••••••••..l <br /> M MMM Mx....W M.ni ' M.1 Fw.11M1MMi.MwwM riii::iMMww <br /> M MMM MaaMM MMMMaMM MA"MM"MYM MMM MaOYaMMMMMMMMWMM MMMMM MMMfMMMMM MWM MMM MA"MMMMM m•Y Ml1aaM MMNMM <br />