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12-09-1997 9:05PI11 FPO[,-,I TO 1909;Dt=,c_:".1244 P. 11 <br /> ' SAN JOAaUft).17G <br /> PUBLIC HEALTH St:Rif1C£S - ENVIRON)GEITTB DIVSION <br /> ROUND STORAGE TANK PROGRAJI <br /> S FAC LITY S TE NAM FACILITY CONTACT ,AME <br /> EJ FACILIT� ADDRESS_ j st PHONE with AREA CODE <br /> CITY I STATE ZIP CODEof TANKS <br /> A tr SITE 2- <br /> P <br /> P APPLICA QT/BILLING NAME CANT TACT N E <br /> L ! $ <br /> C MAILINGjADORiSS PLICANT PHONE 4 WITH AREA CCOF <br /> M 3 <br /> T1 CITY STATE ZIP CODE TYPE APPLICAT ION <br /> ,� (Closure, StaLLatian, etc.) <br /> ! <br /> TOTAL <br /> 1986 1987 7988 1989f 1990 <br /> ANNUAL FACILITY FEE (Prior to January T, 7991) 5 3100.00 1 ------��I�� <br /> A XXXX LXXXX XXXX I XXXX XXXX S xxxxxxxx 1 <br /> C <br /> T FACILIT� PENALTY FEES ASSESSED (If AppLicabte) xxxx XXXX XXXX xxxx xXXX S xxxxxxxx <br /> I <br /> Y TANK FEf = $50.00/TANK (Prior to January 1,1991) 5170/TANK (After January 1, 1991) <br /> E <br /> tf Tanks= 1987 1988 1989 1990 1991 1994 1993 1994 1995 1996 1997 <br /> (m <br /> F u(tip y S by fee for ._ <br /> A each year applicable) xxxx xxxx xxxx XXXX xxxx $ <br /> C <br /> I TANK PE ALTY FEES ASSESSED XXXX XXXX XXXX XXXX XXXX E <br /> L <br /> I STATE S6RCHARGE FOR NEW FACILITIES ONLY = S18.50 'S <br /> T _. <br /> Y ft Tank$i x $8.00 1988 through 1990 (356) 7991 through 1996 ($56) 75x)7 <br /> SURCHARGE FOR 1997 Xxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxx 5 5 <br /> C PERMANF.T CLOSURE (Removgt 'or Authorized Closure-in-Place) TANK [.D. 1(s) <br /> O CLOSURE{FEE = 878.00/hour (3 hours minimisrr/TANK) TANK(s) x 8234.00 S d� C3 <br /> S — <br /> U TEMP>ORAfY CLOSURE (Plan Review & Inspections) ! TANK i.D. Y(5) <br /> R _ <br /> E TEMPORARY CLOSURE FEE = S78.00/hour (3 hours minimum/FACILITY) $234.00 minimLxa s <br /> P INSTALLATION PLAN CHECK (PLan Review 8 Construction Irispectiorts) TANK I.D. .1(3) <br /> L <br /> A I <br /> N PIAN CHECK FEE - $78.00/hour, (8 'hours minimum/FACILITY) $624.00 mir,iia m 5 <br /> a <br /> R REPAIR PEE (Workpinn Review & Construcrion 7nspccrioru) I TANK I.D. 3(s) �_ S <br /> E <br /> P TANK LI ING REPAiR FEE a $78.00/hour (3 hours minimun/TANK) It TANK(s) X 5234.00 - R <br /> A _ — <br /> I ITANK RETIROFIT REPAIR FEE = 578,00/hour (3 hours min./FACILITY) = SZ34.00 minium S <br /> R ` ' _ _ <br /> PIPING 4 PAIR FEE 578.00/h6ur (3 hours minim,-/FACILITY) = 523L.00 minirra�m # _ <br /> X TRANSFER FEE = $20-00 UNAUTHORIZED RELEASE EVALUATION = $7E3.00/hr y <br /> S i • <br /> C1 FONSLILTAFION FEE = 578_00/hr I SAMPLII1r M PECTION FEE 578.00/hr I - <br /> ! � b <br /> rOTAL OuF Lt. t <br /> i (V <br /> FOR 4FFIOE LrSE ONLY <br /> ,w <br /> �IUi��. - —'- J_ --...�— -. �I, �.RWlf�tl i•.ra- '��EE+- - �a:i.uII1W.^_?y-.`_=��Nil.Wn'i^.mnr-s <br /> •_r..:::'.'.'alllllbl L•c':: �.�w:;9CIyli:e•__ -e- <br /> SWEEPS A J COMPUTER # I Loc Ci7OF (LIST CODE AMCUNT RECEIVED CHECK */CASH RECEIVED BY OATS RECEIVED <br /> - <br /> ;;LLII - <br /> Uiili;tii3::: <br /> - <br /> �.......! ._—__..ilbitk'LXIJAI1als••'-'�=:--��Sh._—...--."«, .,.. ...—_ .: - - ..�:3; ,_-�1nn' -.. <br /> EH 23 032 (REVISED 5-27-97) <br /> TOTM1L P. 11 <br />