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05/15/2000 15:43 20946834?3 FIFTH FLOOR PAGE 10 <br /> SAN 7OAOUIN =n UMLL NFALTW ac—. VICS$ - '><Y IRG111_9TAL .ftu •,H.vir <br /> i=t,. JUM STCRAC= TANK PROGRAM -1 r z WnRKSNW <br /> S1 PAC(LITY SITE NAME f AACLLi 7r CCMTdG' MA E <br /> II 1MASoN C19n�T ��IL � LL_G rIII FM-A P^1v. LA4 i. <br /> r ,I sr,-Z.a.r.�nN2 .2 �i;k, AREA =E" <br /> dl FACtt[iY AWRESS t1 <br /> A <br /> CITY F:AFEiar TAMES <br /> A c.ic <0,.1 CA, I ! ac SITE 3 <br /> P' APPLlC.NT �"jR�TACY r NAME <br /> PI APOL[CANT/8[LLING NAME + <br /> L I 1' YJ <br /> CI MAILING A70RES5 APPLICANT PNCNE A WIN AREA =1 <br /> A �► PEAR TwA1 V <br /> x <br /> "PrPI $IP LSE I TYPE a' AP° <br /> T CC " ' '� I G�tJ SQ� I CCCaSure CnSiaLCacion, 9tc.] <br /> ll I �'qgG i9R7 � 1988 I t9E9 �I SSSq <br /> {� <br /> ANNUAL F [Li T i'ACF58 CA ar 10 -L ary t, 19911 = 5100-CO <br /> A xxxx + xxxx xxxx' xxxx f[ xxxx r.s x X <br /> fi <br /> j FACILITY" ff <br /> 7xxxx j xxxx I xxxx � xxxx l xxxx s xxxxxxxx ' <br /> cNALit' fx"&S ,i5^�'^=.9� (J.' �5oplieahle) <br /> C1 <br /> v YANK FE = s50 CI-1 (Pr?Or to lanudry 5,1441) 5:78/TANK CAftSr 3anuary 1, 19911 <br /> i <br /> a : Yanks'= 119FA 1989 11990 t991 7992 11995 1799E 11995 t996 [947 f 1998 <br /> F+ (muiclp CY b)' fee 'a <br /> A7 eaCn YeLr applicable) 4 xxxx I xxxx I XKxx I xxxx !xxxx ` 1 <br /> X <br /> I <br /> C 1A'XX � xkkX + xxXX �XXXY I 1 S <br /> [ iANK PENALTY FEES ASSESSF➢ I kXR' f <br /> C' - <br /> I STATE SURCHARGE FOR APf PACIL[T[ES aMLT=41&i0 <br /> T Ydnks�� x 1988 !nccggh 1993 (55b) 1593 chraugh 1997 CSSo)I 1998 <br /> SURCNARGE FOR 1998 + A%X'XxXXXX `.7XXX%xXX.�'X.Y:IYx.7.T xxxxxxxMxxxxxxxxxxxxx 5 <br /> 7rjMPGRA11Y <br /> OSURE (Rem°val ar such°rrte?C:asurs- n . xs) , 7Anx I.7. +'(S) <br /> = 578.00/EaLLr (3IxNRCs)f1Si1RE (Plan Review 3 [nspea-iar'a) <br /> 4CSURE FEE = STa.00/hour (5 h.rs �minim+a/FACSLITY) I SZi4,Up mini a, <br /> a <br /> pl [NSTALLATION P SM C[iET^Y. (plan Ae•Ii Cw <br /> A L {cns:Tue�i cn Insaeccians)Ii TANK [.7. '+(s3 <br /> tl <br /> y <br /> N PLAN CHECK HIEa 578.80YRO4r C6,4misTa misi^=lFACitt.iY) = 9524,00 minisasP <br /> RI tsRAM F= (W0Vkp1!an ReVell" 3 Cors& tiaa ,[rspeeti ars.l TANK f.A. '.(s) <br /> E .X 573,,00 ' ` 5 <br /> P TANK !LX ING REPAIR FE- a Si8.g0/hour (3 hours mini"wrIAM) i[ TANK:S7 <br /> A + S <br /> I TO.ItK RETROFIT REPAIR FEE = 578.00/hour/hr (3 hours MIM-/FACILITY) = S23,.00 minimm <br /> R s <br /> I ?[PING tE?AIR re! = 5x'3'.519/hour.�:hours.aiiaimart/FACILITY) - - , <br /> r vA <br /> 7-i <br /> EF.3 Fee =ec-+7.00 IMA1fYNOR[7a RELEASE EVALUATION = 578.08/hr LYATfCN' ft5 —I•'3.0G„h^ SANPLCNG INSPECT[CN FEE 578.08/hr <br /> TOTAL Gtr S <br /> FOR OFFICE USE ONLY <br /> T REC_-VEG C:EECK wCASd I iE IyEa <br /> ❑CSL CEDE i AM(11N _ <br /> EN 23 032 (REV[SE7 1.12.981 <br />