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SAN JGAGUIN COUNTY PUBLIC HEALTH SERVICE$ - ENVIRMMMTAL HEALTH DIVSION <br /> UNDEAGROUA STORAGE TAUK PROGRAM - FEE W0.KSHEEi <br /> t FACILITY SITE NAME 77] <br /> I fAC t I I TT CONTACT MAINE <br /> T <br /> 1 fA[I�T�ADOR 711! PHONE 1 With AREA Cm! <br /> CI TT�.//� / r STAY 21► Cm! 1 of TAM" <br /> A J <br /> / at SITE 2 <br /> P APPLICANT//TILING NAME APPLICMT OOITACT NAND <br /> c MAILING ADOu 83 <br /> A O o rA _ . l G _ A► / T Mtllt 1 YI iM M <br /> T city 1 STA E ZI �E TTPI of APPLICATION <br /> (Clowre, Intal lmt ion, ate.) <br /> TOTAL <br /> ANNUAL FACILITY FES (Prior to JwLary 1, 1991) $100.00 1966 19E7 196E 1919 1990 <br /> A <br /> C t <br /> I FACILITY PENALTY FEES ASSESSED (it Appllcabla) <br /> )COOK <br /> IOO5 <br /> 9 TANK FEE $30.00/TANK prior to Joralry 1,1991) 5170/TANK (After January 1, 1991) <br /> 19 <br /> 1 tu*s • 1966 1967 1966 1969 1990 1991 1992 199! 1991 1997 96 <br /> F (a ltlply Tby fa. for <br /> A each r.ar .ppl lcab(.) 3yo ci ?"1z) <br /> LANK PENAL IT fEEt ASSESSED --JS <br /> 3/!0 <br /> (o Z/—)l fld2d <br /> 1 STATE SUNCMRGS • SS6.00 each TANK (Due wary S yeen) IN Ifa Cada, tion 27267 <br /> t <br /> T I taNu t 576.00 1966 through 1990 1991 throl 1996 <br /> (inter want " year) <br /> $ <br /> C FIRMAMENT CLO"t (Swat or Authorlted Cloaura-In-►laeq TANK IT 1(a) <br /> L <br /> o CLOSURE FEE • $78.00/har (3 hats ■Initata/TANC) 1 TANK(a) <br /> I __ X $23/.00 S <br /> U TEMPOWT CLOlUt (plan Review i Irrpegtlona) TANK I.D. 1(a) <br /> I <br /> I TOPONAq CLOVER ISI 1571.D0/hotr (3 hotre N)nIm.WFACILITY) a $234.00 minl" ! <br /> P INSTALLATION /LAN CHECK (Plan Review I COfrtruCtlol Inapeatlorr) TANG I.D. 1(a) <br /> L <br /> A <br /> I PLAN CHECK FEE I S78.00/hor IS hol minlnNV►ACILITT) a $624.00 Sinlatle $ <br /> R 11PAIR FEE (Workplan Review i Conatrutrtlan t,@peotI,l tAMC I.O. I($) <br /> t <br /> TANK LINING Rt►AIR IA I $78.00/hour (3 hart minlMmYYAHK) / t <br /> A I A)IRfa) _ X $234.00 • $ <br /> I TANK 111TROF1T REPAIR FEE A 179.00/how I3 hours min./FACILITT3 a $231.00 minion 9 <br /> t <br /> /I►ING MAIN FEE • 771.00/hor (3 here minioa/FACILITY) a $231.00 minimal $ <br /> N TRANSFER Flt a IM-00 LR(AUTNOR 1720 RILEAS/ EVALUATION • $79.00/hr t <br /> I <br /> S <br /> C I CONSATATION Fn I $78.00/hr RANKING INSPECTION FEE <br /> TOTAL DUE S <br /> FOR OFFICE USE OILY <br /> � r T 'ffTYT'dfii' bllll�f'kEt4'tVEff 'i71!'d.'TJ��Il1r"m '!k�'1CkT'7Yr" "lIxTY��r <br /> IT <br /> _ S <br /> rmita3m�'aaim��r�a��iM�i�ir�mrrrrrrr <br /> IN D 072 (RSVISSO 3-1-97) hoe 11 <br />