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SANAQUIN LOCAL HEALTH DISTRICT <br /> GROUND STORAGE TANK PROGRAM - FEE RORKSHEE* <br /> F `ACiLITY/SITE NAME FACILITY CONTACT NAME <br /> A <br /> C California Water Service Company Mike Fowler <br /> I <br /> L STREET ADDRESS Wilcox Road SITE PHONE 1 (with Area Code) <br /> 1 (209) 464-8311 <br /> T <br /> Y CITY Stockton • STATE IIP CODE 1 of TANKS <br /> CA 95205 at Site 1 <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P <br /> P California Water Service Company Mike Fowler <br /> L <br /> C MAILING ADDRESS 1602 E. La Fayette Street APPLICANT PHONE 1 (with Area Code) <br /> A 209 464-8311 <br /> N CITY STATE IIP CODE TYPE of APPLICATION <br /> T Stockton CA 95205 (Closure, Installation, etc.) Tank Removal <br /> FACILITY FEE = 1100.00 each SITE ADDRESS per YEAR TOTAL <br /> A <br /> C 1986 1987 1988 1989 <br /> T <br /> I f <br /> V <br /> E TANK FEE = 150.00 each TANK <br /> F 1 Tanks x 150.00 1986 1981 1988 198'3 <br /> A Multiply-1-by fee for <br /> C each year applicable) f <br /> 1 <br /> L STATE SURCHARGE = 156.00 each TANK (see CA HEALTH I SAFETY CODE Sec 25287 for applicability) <br /> 1 <br /> I I Tanks x 156.00 19A6 1987 1988 1989 <br /> Y (enter iiiii5t and year) <br /> f <br /> C PERMANENT CLOSURE (Resoval or Closure-in-place) <br /> L <br /> 0 CLOSURE FEE = 190.00 each TANK 1 Tanks---L x $90.00 f 90.00 <br /> 5 <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 $00.00 f <br /> P PLAN CHECK (Installation or Repair) <br /> L <br /> A <br /> N PLAN CHECK FEE _ $30.00 each SUBMISSION/RESUBMISSION f <br /> REPAIR <br /> R <br /> E TANK REPAIR FEE = 1110.00 each TANK 1 Tanks x $110.00 f <br /> P <br /> A <br /> 1 PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, ainieuo one hour to be paid on plan submittal) <br /> R — <br /> UNAUTHORIIED RELEASE EVALUATION CONSTRUCTION SAMPLING <br /> (when applicable) INSPECTION INSPECTION <br /> FEE _ $30.00/hr FEE _ $35.00/hr FEE = 135.00/hr f <br /> TOTAL DUE <br /> OFFICE USE ON(r <br /> ZSWEEPSCOMP 1 LOC COBE DIST CODE AMOUNT DUE AMOUNT RCVD CHECK I/CASH RCVD BY DATE RECEIVED PERMIT 1 <br /> n //// <br />