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PAYMENT <br /> RECEIVED <br /> N JOAQ4111Y ry <br /> PUBLIC HEALTH <br /> ENVIRONMENTAL HEAL Tri DIVISION <br /> SAN JOAQUIN COUNTY Pt,4LIC HEALTH SERVICE$ <br /> ENVIR NTAL HEALTH DIVISION <br /> UNDERGROUND STORAGE TANK PR - FEE KSHEET <br /> FACILITY SITE NAME FACILITY CONTACT <br /> F <br /> A <br /> I FACILITY APOR90 SITE PHONE # With AREA CODE <br /> L <br /> T CITY STATE 41P CODE 9f TANKS C <br /> Y L�G�v a SITE <br /> A APPLICANT/SILLING NAME APPLICANT CONTACT NAME <br /> P c 1C Se vt'c t° <br /> NAILING ADDRESS APPLICANT PHONE # 411TH AREA CODE <br /> �K <br /> T CITY c�c TE ;IP CODE TYPE of <br /> CLOSURE !!N!$!T!1LL!A! I etc. <br /> TOTAL <br /> A 1956 1907 1900 1989 1990 <br /> tANNUAL FACILITY FEE (Prior t9 JOnuery 1, 1991) q $100.00 $ <br /> E 'TANK FEE _ $50.00/TANK (Prior to January 1,1991' $170/TANK (after 4wwary 1. 1991) <br /> A &Tanipty y�yfe� for 1944-1"1947 1900 19$9 1990 1991 1995 1493 1994 1995 1996 <br /> C , each year appticabte) $ <br /> L $TATE SURCHARGE m $56.00 each TANK (Duo every 5 year*) $ea Catifornia H $ S Code, $action 252$7 <br /> T # Tanks A $56.00 1956 through 1990 1991 through 1996 <br /> Y (enter t yoor) $ <br /> PERMANENT CLOSURE (RemoYst gr Authorized C1.9sure-in-Pl9ce) TANK I.Q. #(*) <br /> L CLOSURE FEE * $53.00 per hour 0 hour* miniawo par TANK) # TANK(*) X $159.00 <br /> 0 <br /> S <br /> TEMPORARY CLOSURE (A 9ne-ti permit, for reYieM/in*ptcti ) TANK I.Q. 00 <br /> El TEMPORARY CLOSURE FEE : $150.00 each TANK # TANK(s) X $150.00 $ <br /> P I PLAN CHECK (Instatt. Plan Review $ Construction Inspections) TANK Il-D. #(*) <br /> L <br /> NJ PLAN CHECK FEE - $53.09 per hour (0 hours minimW per F$cilitY) a $424.00 mini $ <br /> R REPAIR FEE (w6rkptan rgylow 4 construction inspect( ) T I.D• f(*) <br /> P TANK REPAIR FEE q; $53.00 per hour (3 hour* mini. TANK) # TANK(q) X <br /> p $159.00 $ <br /> R PIPING REPAIR FEE $53.00 per hour (3 hour mini per f*oitity $159.00) $ <br /> M TRANSFER FEE .. . a $20.00 UNAUTHORIZED RELEASE EVALUATION v $53.00/hr i <br /> i <br /> C CONSULTATION FEE a $53.00/hr SAMPLING INSPECTION FEE a $5340/hr <br /> TOTAL QUO <br /> EH 23 032 (REY 4/$/91) ft Fogg 11 <br />