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SAN JOAWIN COUER STORAGE TANKKVPRROGRAMENVIRONMENTALEET�TH VSION <br /> UNDER <br /> FACILITY CONTACT NAME <br /> S FACILITY SITE NAME My Mini Mart Joginder Lal <br /> T SITE PHONE 4 with AREA CODE <br /> -E FACILITY ADDRESS 941-2264 <br /> 1756 N. Wilson Way (209) <br /> & STATE ZIP CODE 4 of TANKS <br /> A Stockton <br /> CITY CA 95202 at SITE TWO <br /> P I APPLICANT CONTACT NAME <br /> P APPLICANT/BILLING NAME Tim Juif <br /> L SEMCO <br /> I I APPLICANT PHONE 4 WITH AREA CODE <br /> C MAILING ADDRESS (209) 524-9653 <br /> A 1217 South 7th Street <br /> N STATE ZIP CODE TYPE of APPLICATION Installation <br /> T CITY CA 95351 (Closure, Installation, etc.) <br /> Modesto <br /> TOTAL <br /> 1986 11987 1988 1989 11990 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) = 5100.00 <br /> xxxx xxxx I xxxx xxxx I xxxx 5 xxxxxxxx <br /> A <br /> c� xxxx I xxxx I xxxx I xxxx I xxxx s xxxxxxxx <br /> TI FACILITY PENALTY FEES ASSESSED (If Applicable) <br /> I 5170/TANK (After January 1, 1991) <br /> V TANK FEE 550.00/TANK (Prior co January 1,19917 <br /> E 1988 11989 1990 1991 11992 11993 11994 17995 1996 1997 <br /> 4 Tanks = <br /> F (multiply 4 by fee for XXXX lXX xxx I XXX I X'OC <br /> A each year applicable) xXXX I XXXX I I XXXX (XXXX <br /> Ci5 -O <br /> I TANK PENALTY FEES ASSESSED I XXXX I XXXX I XXXX XXXX %XXX I I I I i <br /> L5 l.S�l <br /> I STATE SURCHARGE FOR NEL FACILITIES ONLY=3JS:i"10--10 <br /> T 7988 through 1993 (556) 1993 through 1997 (556) <br /> Y I Tanks <br /> SURCHARGE FOR 4998' 1Rq i X%XXXXXXxXXXXXXXX%XXXX%%XXX xXXXXXXxxxxxxxXXXXXxxxx jXX XX �- <br /> C PERMANENT CLOSURE (Removal or Authorized Closure-in-Ptace) I TANK [.D. 4(s) <br /> LY TANK(s)__ x 5234.00 = 5 <br /> OI CLOSURE FEE = 578.00/hour (3 hours minimuNTANK) <br /> SI TANK I.O. 4(s) <br /> U1 TEMPORARY CLOSURE (Plan Review & Inspections) <br /> R S <br /> EI TEMPORARY CLOSURE FEEE = 578.00/hour (3 hours minimum/FACILITY) i 5234.00 minimum <br /> Pi INSTALLATION PLAN CHECK (Pian Review & Construction Inspections) TANK 9 yGOo <br /> L 10 Day Rush 5936.00 <br /> A = %24.00 minimwi <br /> N i PLAN CHECK FEE = 578.00/hour (8 hours minimum/FACILITY) <br /> i <br /> R REPAIR FEE (Workplan Review & Construction Inspections) <br /> TANK I.D. 4(s) <br /> E I 4 TANK(5) % 5234.00 = 5 <br /> P TANK LINING REPAIR FEE = 578.00/hour (3 hours minimm/TANK) <br /> A = 5234.00 mini mm S <br /> I TANK RETROFIT REPAIR FEE = 578.00/hour (3 hours min./FACILITY) <br /> R = $234-00 mini mm 5 <br /> PIPING REPAIR FEE 578.00/hour (3 hours minimum/FACILITY) <br /> Mj TRANSFER FEE = S20.00 UNAUTHORIZED RELEASEE EVALUATION = 578.00/hr 5 <br /> I E:A 5 = 578.00/hr 5 <br /> C CONSULTATION FEE = S78.00/hr SAMPLINGINSPECTION FEEL DUE 5 r <br /> FOR OFFICE USE ONLY ._ _.... <br /> __.._...............__._.... _. __.__— <br /> __..r-....._.......�_:__ :___:��__ ....._— DATER � <br /> -- " LOC CODE GIST CODE AMOUNT RECEIVED I CHECK 4/CASH RECEIVED gY <br /> SWEEPS 4 COMPUTER <br /> 1 <br /> EN 23 032 (REVISED 1-12-98) <br />