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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH OEP IVIENT <br />UNDERGROUND STORAGE TANK PROGRAM FEE WORKSHEET <br />Qv 1v- S-rc P * 13 Z <br />FACILITY ADORES$ <br />Cllr STAT <br />STOCICTOCA <br />APPLICANT BILKING NAME <br />Ul A t -To � E •� G. I N E. �i n,r ..I.c, , � <br />APPLICANT MAILING ADDRESS <br />p. A• g0X 10 z,s <br />CffY STATE <br />�IIGE JLAILVIE—LO-r <br />SITE PH614E # WITH AREA COI <br />Seo 6.9'1,' 8'SO o <br />7JP CODE I_ # OF TAN <br />(JU • S A -C, R, A M &P -n -o CA7 Cl S,6 q t <br />ACTIVE FACILITY <br />q 5-7-0 C, 1 3 <br />IM I C NA -E, t. WA c -Ta A <br />WFLICANT PHONE At WITH AREA CO <br />9�6 3-+; — tcs?-- <br />CIRCLE WORK TO BE 0 <br />Closure Installation Repalr <br />1997-1999 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK(wo)X(*tsnke)X(#ofyearsappacahle) <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $101 TANK <br />2001 12002 <br />'FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM =$17.501 <br />TANK ID# (s): <br />TANKS X $267 <br />TANK LINING REPAIR FEE = $267 / TANK # = <br />-1 • <br />$ <br />TANK RETROFIT REPAIR FEE = $267 / FACILITY T+ <br />PIPING REPAIR FEE = $2fi7 !FACILITY <br />