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SAN JOACUIN COUNTY PUBLIC HEALTH SERVICES ' <br /> ENVIRONMENTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> AM. Cal.osso & Son, �- •✓� David Heinze <br /> C <br /> FACILITY ADDRESS SITE PHONE I with AREA CODE <br /> L 1947 E. Miner Ave. (209)466-8894 <br /> I <br /> T CITY I STATE 21P CODE I of TANKS <br /> r Stockton, Ca. 95205 at SITE 2 <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P <br /> P M. Calosso & Son, David Heinze <br /> L <br /> I HAILING ADDRESS APPLICANT PHONE / WITH AREA CODE <br /> C 1947 E. Miner Ave (209)466-8994 <br /> H CITY STATE 21P CODE TYPE of APPLICATION <br /> I Stockton, Ca. 95205 CLOSURE, INSTALLATION, etc. Removal <br /> TOTAL <br /> A <br /> C 1986 1987 1988 1989 1990 <br /> I ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br /> I S <br /> V <br /> E TANK FEE = 550.00/TANK (prior to January 1,1991) 5170/TANK (after January 1, 1991) <br /> F I Tanks = 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br /> A (multiply fee for <br /> C each year applicable) f <br /> 1 <br /> L STATE SURCHARGE = 556.00 each TANK (Due every 5 years) See California N d S Code, Section 25287 <br /> t <br /> T R Tanks x 556.00 1986 through 1990 1991 through 1996 <br /> T (inter amount end year) <br /> S <br /> C TANK I.D <br /> PERMANENT CLOSURE (Remove( or Authorized Closure-in-Piece) . I(s) <br /> L CLOSURE FEE = $53.00 per hour (3 hours minimrn per TANK) I TAHK(s) 2 x 5159.00 = S <br /> D 318.00 <br /> s <br /> U TEMPORARY CLOSURE (A one-time permit, for revlew/fnspectlons) TANK I.D. I(s) <br /> R <br /> E TEMPORARY CLOSURE FEE = 5150.00 each TANK I t0k(s) x $150.00 S <br /> P PLAN CHECK (Install. Plan Review R Construction Inspections) TANK I.D. I(s) <br /> L <br /> A <br /> N PLAN CHECK FEE - 353.00 per hour (II hour! minim per Facility) = 5424.00 minimus f <br /> R REPAIR FEE (workp(an review 6 construction inspections) TANK I.D. I(a) <br /> E <br /> P TANK REPAIR FEE = 553.00 per hour (3 hours minimum/TANK) / TANK(s) x 5159.00 = S <br /> A — <br /> R PIPING REPAIR FEE = $53.00 per hour (3 hour minimttn per facility = 5159.00) S <br /> H[t!FF <br /> SULTATIONS UNAUTHORIZED RELEASE EVALUATION SAHPLI NG INSPECTION <br /> I <br /> S <br /> C = 553.00/hr FEE = 553.00/hr FEE = 5 53.00/hr LS318. <br /> TOTAL DUE 00 i <br /> OFFICE USE ONLY { <br /> 2Q;WF:wu"$iw'a'i;W 1_' ifiiiiw===Z;Wfw7«wliiwiwi aS:::isri«iwv"r'»x"ww�iiwiwiwYwiww'w1-11—rwiw'liwiii-- w`wi Gii <br /> dp71'Ek"! r ""NPsF}iBJE"` ""00 "W" 't�'�'"A'�MIP"" 'M1E"�E"I'tlEft"U7' 1�YANN v— <br /> 5 <br /> wwwrwrwwr'wiriwwiiiwiw'wi,.=„nwwwiwiwiw"wwwwwwiww' wwx.wwww.ww w"w ww' ww'n`"aGwaiiwyrwww,wwwwrww <br /> MaM AeMM e=w11 M"AMMAM M"MMfIIY aMM wetarmM/1LVlrwAMAMW MMfIwAMawafMYJM M4MAM}laY AIM ARM lM i.WY MI"M AMMaaA4MMsaaearswsw aMM}M aIIW MlrMM1NM AMAMw w1MM"AM AM <br /> EN 23 012 (REV 1/10/91) It C� , Pace 11 • <br />