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SAN JCACUIN C71NTY PUBLIC HEALTH SERVICES <br /> LMk <br /> .AM PUBLIC HE ENVIRONNTAL HEALTH DIVISICH <br />)EBTAL NEILTH UNDERGROUND STCPAGE TANK PRCCRAN - FEE UCRKSAEET <br />:E TANK PRC: <br /> I FACILITY CNTACT NAME <br /> SITE HAYS <br /> SHANNON VAGI <br /> ANION INDUSTRIES <br /> SITE PHONE Y vi:h AREA C5E <br /> AGILITY ADDRESS — <br /> 2707 TRANSWORLD DRIVE S AIc +IP c�E Y of TANKS <br /> CITY at SITE one 1 10 000 al <br /> r STOCKTON, ICA 195206 <br /> APPLICANT CONTACT NAME <br /> A APPLICANT/81LL1NG NAAE <br /> ? WILLIAM MESSICK <br /> P WESTERN METER SERVICE, INC. <br /> APPLICANT PNCNE Y VITH AREA C OE <br /> L <br /> ( MAILING ADDRESS 209 948-6124 <br /> C 2735 TEEPEE DR. r STE E TYPE of APPLICATICN <br /> A STATE ZIP CME INSTAL LAT ICN, etc.REMOVAL <br /> N CITY CA 95205 CLCSURE, <br /> T STOCKTON <br /> TOTAL <br /> AI 1986 1907 1988 1989 1990 <br /> C5 <br /> T ANNUAL FACILITY FEE (Prior to Jarwary 1, 1991) • $100.00 <br /> I1, 1991) <br /> v 1991) 1170/TANK (after Jaruary <br /> TANK FES , 550.00/TANK (prior to January 1, <br /> F Y Tarks : __ 1986 11987 11908 I iSE9 11990 1991 1992 1945 i 1994 11995 1996 S <br /> A (Jultiply Y b)' fee for <br /> q each year appt cable) <br /> IL —11 A NY i IIiY�N eaM eAN v 1 ural tea catlfornia H section 25287 <br /> ( 1906 throuch 1990 t a �•w <br /> x (enter xwtnt and year <br /> TANK I.D. !(s) <br /> Pe_.LMAHENT CLOS;:RE (Reccval or Authorized Closure-in'Place) X 5159.00 S <br /> C If TAMES)__ <br /> L CLOSURE FEE 553.00 per hour (3 hours mi niasAa per 7ANK) <br /> 0 <br /> S {ors) TANK I.D. !(s) <br /> U TEMPCRARY CLOSURE (A one-tim perm t, for review/inspect X 5150.00 • S <br /> TEmP"Y CLOSURE FET , 2150.00 each TA)IK <br /> 7 PLAN CHECK (Install ru <br /> Plan Review L Corstction IrePK:ions) TANK I.D. !(s) <br /> L S <br /> A r Fxility) • 1424.00 minima <br /> N PLAH CHECK FEE . S53.00 per hour (8 hwrs miniffLm pe <br /> TANK I.D. Y(s) <br /> R I REPAIR FEE (workplan review C crostructim inspections) X $159.00 • S <br /> P hour <br /> (3 hours mi niaaJNTANK) <br /> TANK REPAIR FEE • 553.00 per ho <br /> ! TANK(s) <br /> A 5 <br /> ( r facility 5159.00) <br /> R PIPING RE7A1a FEE • 553.00 per hour (3 hwr min can pe <br /> S <br /> H TRANSFER FEE 520.00 U�AUtHCRIZED RELEASE EVALUATION 553.00/hr <br /> 1 S <br /> SS,1HPLING INSPECTION FEE 553.00/hr <br /> C CCN SUITAT ICN FEE 5s53.00/hr TOTAL DUE S ' <br /> OFFICE USE ONLY "��_ ��_____�_.— --_------p'-�G�'-_- •rGaa <br /> LAS[ aRC1Y�q, 111/Mrl/ SL ��r�i1MlA.N�IAAC <br /> LCI. <br /> 1 <br /> /.Z1=l�irr.srar�a,zSet <br /> . <br /> rr•r rarer rci.rrrr rrl►r.�.�..r lar rr r.•r <br /> Paae IT <br /> t) f' <br />