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""DERGROVND STORAGE TANK PROGRAM - It! wilfikaHtR+' <br /> S FACILIIT SITE NAME (ACII'IIY G 1Cl MAME <br /> Teresi TruZking ` Todd Teresi <br /> 1 <br /> E FACILITY ADDRESS 900 112 E. Victor SITE PHONE A with AREA CODE <br /> (209)368-2472 <br /> a <br /> City SIAIE ZIP CODE �� R of iANKS <br /> A Lodi, CA 95240 j'� at `.SIIE 1 <br /> P <br /> P APPLICANI/11M ING NAME APPLICANT CONTACT NAME <br /> L Teres. Trucking ;I, Todd Teresi <br /> C MAILING ADDRESS APPLICANT PHONE it WITH AREA CODE <br /> A 900 1/2 E. Victor Rd. (209)368-2472 <br /> H ' <br /> I City STATE IZIP:CODE TYPE;�of APPLICATION Removal <br /> Lodi, CA 95240 11 (Ctosure, installation, ate.) <br /> TOTAL <br /> 1986 1987 1988 1989 1990 <br /> ANI"AL FACILITY FEE (Prior to January 1, 1991) _ $100.00 3 <br /> A <br /> :t <br /> C <br /> I FACILITY PENALTY FEES ASSESSED (If Applicable) xxxx xxxx % <br /> F <br /> I <br /> V IA11x FEE - 150.00/TANK (Prior to January 1,1991) %170/TANK (After January 1, 1991) <br /> Ew Ianks 1986 1987 1988 1989 1990 1991 1992 4993 1994 1995 1996 <br /> F (no(t[ply d by fee for <br /> A each year nppticabte) s % <br /> C <br /> I TANK PENALTY FEES ASSESSED KXXX xxxx �� % <br /> l -- <br /> I SIAIE SURCHARGE - $56.00 each TANK (Due every 5 years) See California N S Code, Section 25287 <br /> I <br /> Y E tanks x 956.00, 1986 through 1990 1991 through 1996 <br /> (Enter amount and year) <br /> r.. PERMANENT CLOSURE (Removal or Authorized Ctosure-In•Place) TANK IO: N(s) <br /> L <br /> 0 CLOSURE FEE ■ $78.00/hour 0 hours mfnlmim/IANK) N TANK(s) 1 X 1234.00 - % 23 4.0 0 <br /> S <br /> U IEIICORART CLOSURE (Plan Review d Inspections) TANK I.D: A(s) <br /> R <br /> E IEHPORARY CLOSURE FEE _ %78.00/hair (3 hours mlnfmn+/FACILITY) ■ $234.00 minlmM $ <br /> # it <br /> P IIISIAtLAIION PLAN CHECK (Plan Review Z Construction (nspecllons) TANK I.D.}N(s) <br /> t <br /> A <br /> 11 rtA11 CIIELK FEL: - 178.00/hour 0 hours minlmun/FACItIfY) + $624.00 minlmun % <br /> F <br /> R REPAIR FEE (Workplan Review a Construction Inspections) TANK I D."'#(a) <br /> E <br /> P TA11K L1N1116 REPAIR FEE = 178.00/hour (3 hours miniamm/TANK) N TANK(s) X 1234.00 + $ <br /> A <br /> 1 IAIIK REIROFII REPAIR FEE - $78.00/hour (3 hours min./FACIL(IY) - t234.00 ,einiinm % <br /> R } <br /> PIPING REPAIR FEE $78.00/hour (3 hours minlmuaVFACItIIY) - S234.00 mini" 1 <br /> ,r <br /> H IRAMSFER FEE ■ 120.00 UHAUINORIZED RELEASE EVALUATION 178.00/hr % <br /> S — <br /> C CONSULtAIION FEE _ %78.00/hr SAM ING INSPECTION FEE 178:Q0/hr t <br /> TOTAL DUE '234.0 <br /> FOR OFFICE USE ONLY _.............................:. <br /> �y:M w+rr.'r1.tWw� <br /> 1 pyt��ys� <br /> r SI/EFS �Of `/ L [ c5� ' f�5 T:Wk Asl ""f !'f'"fi'I' �"""""N� <br /> 7 » <br /> » % :V i <br /> 1t.......................... ........................ .................... ........................ ........................ .....,.. .............................. .:.................................. ................ ._. ._... .... .... <br /> w•.r.m""+..r mm MRw..."Imw Im mm-w+..w■w rwwr-w mm xw rw o"+w+w <br /> MrN I`=FSYN NN M7rtY NN Ilpf N9HI MW IIAeN�1Na1 Anf Iltiletl 90N!fou NtzMf lM1 NmN Iti1 Ilerai Wt NIY lAMN N!Y MMK NN 1NI■I!Iq NrN NM NN NMN M/I MM ON IMMI lM AK 1MMA IIiM NIMN!IN NIM4 AM AMM NW w AMII AW NII <br /> EN 23 032 !REVISED 3-1-931 Paae 11 <br />