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SAN JOAOUIN COUNTY PUBLIC HEALTH WVECES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNOERGRCIJNO STORAGE TANK PROGRAM FEE 110RKSHEEt MAY.1 2 1992 <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> A 1`� �; f/''' G%/,/�y2 ENVIRONMENTAL H <br /> C T CES <br /> I FACILITY ADDRESS SITE PHONE i ulth AREA CODE <br /> T CITY sT t VP CODE Sof TANKS <br /> Y c— —fed at SITE -- <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> L <br /> I MAILING ADDRESS APPLICANT PHONE 0 WITH-AREA CODE <br /> A <br /> N CITY STATE #lp CODE TYPE of APPLICATION <br /> T C�7,�. ��„f , rte, / (`taSURE, INSTALLATION, etC. <br /> WAL <br /> A <br /> e 148d 1951' 1486 1469 1944 <br /> T ANNUAL FACILITY FEE (Prior to Jinuary 1, 1491) + !100.00 <br /> V <br /> E TANK FEE 150.00/TANK (prier to Janusty 1,1991) 11 WANK (aftlr Jihl.Iiry 1, 1491) <br /> F s Tanks 1986 1999 1440 1941 1942 1943 1944 1995 1946 <br /> A (euttlpty R by fee for <br /> C each year apptlesbtd) ! <br /> I <br /> L STATE SURCHARGE • 156.00 each TANK (Du# !vary 4 yeari) Std Cattlornli H it S Codd, Sdetldh 25287 <br /> t <br /> T 0 Tanks x 156.00 1486 through 1490 1491 thrdugh 1946 <br /> Y (enter onount aril year) <br /> ! <br /> PERMANENT CLOSURE (Remvat or Authorized Ctosurl-In-PiAAAk/p.r TANK 1.0. 0(3) <br /> C <br /> L CLOSURE FEE • 153.00 per hour Cl hours Mlnl" pdr UNK) ( 11 X 1159.O0 ! <br /> 0 Al <br /> S <br /> U TEMPORARY CLOSURE (A ehe-time pernllt, for revlew <br /> IVR <br /> ETEHPORART CLOSURE PEE 11 !150.00 each TANK t (! X 3150.00 A ! <br /> P PLAN CHECK (Install. Ptah Revldw ! Cohstruetlon inspectlons) 3) <br /> L <br /> A <br /> N PLAN CHECK FEE - 153.00 per hour (8 hours Mint" p!r Facility) l U24 06 A►1n1ftW ! <br /> R REPAIR 1ANI: 1.11. E(i1 <br /> E <br /> P TANK REPAIR FEE ■ 153.00 per hour (3 hours (O nla*WtANK) ! UNK M X !154.00 4 ! <br /> A <br /> I <br /> R PIPING REPAIR REVlFV S CONSTRUCTION i 15#.00 per hour (3 hour al3nlaw.ia pef tleliity a S15q.00) ! <br /> M CONSULTATIONS !UNAUTHORIZED RELEASE EVALUM ON tAMPLINO NORM" <br /> r <br /> 5 <br /> C FEE _ 153.00/hr FEE A 553.00/hr} FEE } ! 53.001hr <br /> TOtA.L DUE <br /> OFFICE USE ONLY ���� <br /> •. ... aiw a..:.:ii ;e.�i irca•�;iaa`e►;ici erae�:.ai:ists.adxro;aovs M.nnaici eas aaca ""�.""""w''•. <br /> L' s p s "�c'f '" a'f" `r €" is c i€ "�� €i i "c itm Fie c'"TrtAs 'cvtilg dv, 'Ar�r`���"' $TffI"4"V""" <br /> II..,.•••••�•••�.�•' sni.�i.ru)wi.►fr's.w wiwM►M.lwii..yai:M7w.�5.W:Niwra►H[ x4 aCM• /,fin{ JS C -'� •••••• •� <br /> ,iw _"+ix�m »i;.` re�wo—=— �"r ywr.re.rrws <br /> �vt rnwr�w sw.f wli nfAi M��If ldwl37r�LfYf l:li/L'x:fY9f N.,.S Ctl Kdf'."JADy. '"i 7JyS flbY.,,.. iS".Y:^19DX2?';:,�SCS.':)""'SS'S:!„Sf,L"Yl RYY.^...t�!J ICY 111/,flf�lllr flMY IUI:W xw om ilw li A. <br />