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1 EfAN jOAQUZN LOCAL HEALTH DISTRICT <br /> UNDE UND STORAGE TtX PR08RM - FEE 1KMKS7tEET <br /> J �G�ILII;TY/SITEME FACILITY CONTACT ! ME <br /> California Water Service Company Mike Fowler (209) 464-8311 <br /> LS�TREET 1646 Wagner Avenue SITE PHONE 1 (with Area Code) <br /> Stockton, STATEZIP CODE 1 of TANK'S <br /> CA at Site 1 <br /> INGAPPLICANT CONTACT NAME <br /> NAME <br /> P alifonria Water Service Company <br /> P Mike Fowler <br /> L <br /> I MAILING ADDRESS 1602 E. LaFayette Street APPLICANT PHONE 1 (with Area Code) <br /> C <br /> A <br /> N CITY Stockton, CA STATE iIP CODE TYPE of APPLICATION Tank <br /> T CA 95205 (Closure, Installation, etc.) Removal <br /> A FACILITY FEE = 1100.00 each SITE ADDRESS per YEAR TOTAL <br /> C1986E <br /> 1987 1988 1989 <br /> T <br /> I f <br /> V <br /> EITANK FEE - 150.00 each TANK <br /> FSI Tanks x 150.00 1986 1987 1988 1989 <br /> A (eultrpry-1-by )ee for <br /> C each year applicable) f <br /> 1 <br /> L STATE SURCHARGE = $56.00 each TANK (see CA HEALTH f SAFETY CODE Sec 25181 for applicability) <br /> 1 <br /> T 1 tanks r 156.00 1986 1987 1988 1989 <br /> Y (enter iiount and year) <br /> f <br /> C PERMANENT CLOSURE (Reeoral or Closure-in-pLce) <br /> L <br /> S CLOSURE FEE = 490.00 each TANK t Tanks__1__ x 190.00 f 90.00 <br /> U <br /> R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br /> E <br /> TEMPORARY CLOSURE FEE = 180.00 each TANK 1 Tanks x $80.00 1 <br /> P PLAN CHECK (Installation or Repair) <br /> A <br /> N PLAN CHECK FEE = $30.00 each SUBMISSION/RESUBMISSION f <br /> REPAIR <br /> R ' <br /> P TANK REPAIR FEE = $110.00 each TANK 1 Tanks _ x 1110.00 f <br /> A <br /> 1 PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum one hour to be paid on plan submittal) <br /> R <br /> UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION SAMPLING <br /> (when applicable) INSPECTION INSPECTION <br /> FEE _ $30.00/hr FEE = 135.00/hr FEE _ $35.00/hr f <br /> TOTAL DUE $ <br /> OFFICE USE ONLY <br /> SNEEPS 1 COMP 1 LOC CODE DIST CODE I AMOUNT DUE AMOUNT RCVD I CHECK 1/CASH I RCVD BY DATE RECEIVED PERMIT 1 <br /> a <br /> i <br />