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SM INY PU9LIC HEALTH SERVICES - ENVIfl, NIAL K DIVVION <br />GR STORAGE TANK PR - FEE KE <br />FACILITY SITE NAME <br />TANK I.D. <br />#T(s) <br />1486 <br />FACILITY CONTACT NAME <br />Shell Oil <br />1940 <br />ANNUAL FACILITY FEE (Prior tt! January 1, 1491) -a$100.00 <br />0 CLOSURE FEE . $78.00/hour (31hours minimsn/TANK) <br /># TANK(s) <br />FACILITY ADDRESS <br />I <br />SITO PHONE # With AREA CODE <br />2575 Country <br />Club;@ Plymouth <br />A ! <br />C � <br />209-948-0574 <br />CITY <br />v <br />STATE <br />ZIP CODE# of TANKS <br />Stockton <br />—— <br />CA <br />at St TIF 4 <br />APPLICANT/SILLING NAME <br />$ <br />APPLICANT CONTACT NAME <br />A.P.I./Ronan <br />0 TANK(e)_... <br />. X SZ34.00 ■ <br />$ <br />MAILING ADDRESS <br />TANK L.D. <br />#(s) <br />APPLICANT PHONE # WITH AREA CODE <br />3031 Tisch Way <br />##100 <br />V TANK FEE s $50.00/TANK ;(Prior <br />to January 1,1491) <br />408-244-6739 <br />CITY <br />j <br />STATE <br />$624.00 <br />TYPE of APPLICATION <br />San Jose <br />R REPAIR FEE (W kptan R*vis &!Construction Inspections) <br />CA <br />WZIFODE <br />28 <br />(Ctaaur*, Installation,, *to-) Install <br />I <br />TANK I.D. <br />#T(s) <br />1486 <br />1487 <br />1488 19$9 , <br />1940 <br />ANNUAL FACILITY FEE (Prior tt! January 1, 1491) -a$100.00 <br />0 CLOSURE FEE . $78.00/hour (31hours minimsn/TANK) <br /># TANK(s) <br />X $234.04 <br />S <br />� <br />A ! <br />C � <br />U TEMPORARY CLOSURE (Plan ROYI & inspgations) <br />TANK I.O. <br />#(a) <br />R <br />T FACILITY PENALTY FEES ASSESSEta (If Applicable) <br />XXXX <br />XxxX <br />$ <br />1 <br />E TEMPORARY CLOSURE FEE b S78. /hour (3 hours minimum/TANK) <br />0 TANK(e)_... <br />. X SZ34.00 ■ <br />$ <br />P INSTALLATION PLAN CHECK (Ptan Rosi ew & Construction Inspections) <br />TANK L.D. <br />#(s) <br />V TANK FEE s $50.00/TANK ;(Prior <br />to January 1,1491) <br />$170/TAkK <br />(After <br />January 1, 1441) <br />E <br />$624.00 <br />mintwsa <br />9 <br />R REPAIR FEE (W kptan R*vis &!Construction Inspections) <br />TANK I.D. <br />#'(a) <br />E <br /># Tank$ s <br />F (muttiptY Fyfe* for <br />1486 <br />1487' 1988 <br />1989 <br />1990 1941 1492 <br />1993 <br />1494 <br />1945 1996 <br />I <br />®__„ <br />A <br />TANK RETROFIT REPAIR FEE * Si.00/hour (3 hours min./FACILITY) <br />• $234.00 <br />minimus <br />$ <br />A each year applicable) <br />C <br />R <br />I TANK PENALTY FEES ASSESSED lxxxX <br />XXXX <br />PIPING REPAIR FEE ■ $78.00/hour (3 hours minIpmVFACiLITY) <br />a SU4.00 <br />$ <br />L l <br />I STATE SURCHARGE ■ $56.00 each TANK <br />(01i0 every 5 years) <br />See Catifornia N & S Code, <br />Section 23287 <br />' <br />T <br />Y <br />S <br />Y # Tank& x $56,00 <br />1986 through 1990 <br />1441 throthih 1996 <br />(Enter aunt and year) ;1 <br />I s <br />C PERMANENT CLOSURE (Removal, or Authorized Ctosura-in-Ptsao) <br />TANK I.D. <br />#T(s) <br />L <br />0 CLOSURE FEE . $78.00/hour (31hours minimsn/TANK) <br /># TANK(s) <br />X $234.04 <br />S <br />S <br />U TEMPORARY CLOSURE (Plan ROYI & inspgations) <br />TANK I.O. <br />#(a) <br />R <br />E TEMPORARY CLOSURE FEE b S78. /hour (3 hours minimum/TANK) <br />0 TANK(e)_... <br />. X SZ34.00 ■ <br />$ <br />P INSTALLATION PLAN CHECK (Ptan Rosi ew & Construction Inspections) <br />TANK L.D. <br />#(s) <br />L <br />A t <br />N PLAN CHECK FEE a !78.00/hour �6 hours mink un/FACILITY) <br />$624.00 <br />mintwsa <br />9 <br />R REPAIR FEE (W kptan R*vis &!Construction Inspections) <br />TANK I.D. <br />#'(a) <br />E <br />P TANK LINING REPAIR FEE ■ S78. O/hour—(3 lours minfuLWTANK) <br />0 TANK(%) <br />X 3234.00 r <br />S <br />®__„ <br />A <br />TANK RETROFIT REPAIR FEE * Si.00/hour (3 hours min./FACILITY) <br />• $234.00 <br />minimus <br />$ <br />R <br />PIPING REPAIR FEE ■ $78.00/hour (3 hours minIpmVFACiLITY) <br />a SU4.00 <br />minfwn <br />$ <br />M TRANSXER FEE $20.00 UNAUTHORIZED RELEASE; EVALVATTOX ■ $78.00/hr <br />$ <br />T <br />S <br />C CONSULTATION FEE ■ 278.00/hr SAMPLING INSPECTION FEE • $78.00/hr $ <br />I TOTAL OM S <br />FOR OFFICE USE ONLY <br />SWEEPS # j COMPUTER # I LOC CQOE I DIST CODE I AMOUNT RECEIVED I CHECK WASH RECEAIVED 8Y DATA <br />EH 23 032 (REVISED 11.1-92) ; Pace 11 <br />b: I T CR/RFI/10 <br />TOTAL <br />