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10/17/2000 09:00 20946034-- FIFTH FLOOR PAGE 13 <br /> SAN JOAQUIN COUP PUBLIC HEALI'H StRVICES-ENVIRGNM AL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PROGRAM FEE WORKSHEET <br /> EFACILITYNAME AGILITY CONTA AME <br /> PACIFIC AVE. ARCO MARK YETKA <br /> AGILITY ESS SITE PHON 1 AREA CO <br /> 6425 PACIFIC AVE. <br /> CR"YSTATEzjPODE #OF TANKS AT SR <br /> STOCKTON CA 95202 3 <br /> APPLICANT BILLING NAME APPLICANT <br /> MARK YEKTA <br /> APPLICANT M 18Y(9 ADDAE88 APP T PHONE S WrrH AREA CODE <br /> D.O. BOX 2228 <br /> CI STAT@ ZIP CODE __ LE WORK TO S NE: <br /> DANVILLE CA 95426 <br /> Gineu In9tWa00n Repair R&bWt <br /> ACTIVE FACILITY <br /> 1 sss— lass 2000 <br /> $500 FEE INCLUDES FACILITY FEE+ 1 TANK ($170)X(#tanks X #of earaapplicable) <br /> $125 PER TANK AFTER FIRST TANK <br /> S <br /> TANK PEN TY ASSESSED $ <br /> TANK SURCHARGE• /TANK $ <br /> STATE SURCHARGE FOR FAC0.ITIES NOTALREADY ON INVENTORY INA COPA PROGRAM=S101 FACILITY $ <br /> PERMANENT CLOSURE <br /> Rem w Permitted Closwe In Pfeco <br /> TANK ID# s : CL SURE FEE—4251/TANK I N TANKS X 287• S <br /> 7 YCL08UKZ <br /> Plan Review and Ine UDme <br /> TANK ID#(s]. ;WORARY CLOSURE FEE+$21511 FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Constwoon InoCiona <br /> TANK 10 N(s): PLAN CHECK FEE• 8.98/FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK 10 N is): <br /> TANK LINING REPAIR FEE •S261 f TANK #TANKS X 5261 = $ <br /> TANK RETROFIT REPAIR FEE •$261 /FACILITY <br /> PIPING REPAIR FEE •$261/FACILITY $ <br /> d113CEL OUS <br /> TRANSFER FEE S 20 $ <br /> rZONSULTATION FEE • S 871 HOUR $ <br /> UNAUTHORIZED RPLEA.SE EVALUATION FEE • S 81 1 POUR $ <br /> SAMPLING INSPECTION FEE • 5 87/HOUR $ <br /> ALL FEES t0 ON JIM ME THAT CEED5 PERS PAID WILL U <br /> OFFICE USE ONLY <br /> SEAVICIII RHOWTN 1 #ACtU-ry io AM OUNTREC NED I CHECKS R cmI ND•Y DATFiRA OVE <br /> SR <br /> aN 23032(REVISED a-2taol <br />