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DEC-04-97 10 :45 AM HUN2ICKER ELECTRIC 1 1 209 537 1573 P.04 <br /> ® SAX JOAMIN CM&LIC REALTN SERVICES • ENVIROMOTAL WEALTN AM <br /> UMOKWIM 9TW= TAYC PlMom = UORMNIXT <br /> S FACILITY SITE NAME PACILITV CONTACT NAME <br /> I al .wr <br /> r <br /> E FACILITY ADDRESS SITE PHONE 8 witR AREA CODE <br /> & 1.20 4 We,.:F, �ar77CZ 1 — Z 3 <br /> CITY STATE ZtP CODE x of TANKS <br /> A l ® 5S"a�9 2 at SITE <br /> P <br /> P APPLICANT/BILLING N ® IICt TACT MAKE <br /> L //&-17 C40V° Car. awl'c s All 4m <br /> ,t,t <br /> C NAILING ADDRESS APPLICANT PHONE X WITH AREA CODE <br /> Y O.� s'/ <br /> T CITY / STATE LIP E TYPE of APPLICATION rZ% <br /> Cry/GG "3 [Gtosure, Installation, etc.) <br /> Tork <br /> t 1987 t t 9 t <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) a $100.00 <br /> A xxxx xxxx xxxx xxxx xxxx S xxxxxxxx <br /> C <br /> T FACILITY PENALTY FEES ASSESSED cif Applicabte) xxxx xxxx xxxx xxxx xxxx S xxxxxxxx <br /> I <br /> Y TANK FEE = SSO.00/TANK (Prior to January 1,1991) 2170/T (After January 1, 1 1) <br /> E <br /> X Tanks = 1987 1988 1989 1990 1991 1992 1993 1 1995 1996 1997 <br /> F (multiply X by fee for <br /> A each year appticabte) xxxx xxxx xxxx xxxx xxxx f <br /> C g <br /> I TANK PENALTY FEES ASSESSED xxxx X xxxx xxxx 1 S <br /> L <br /> 1 STATE SURCHARGE FOR NEW FACILITIES ONLY = 218.50 12 <br /> T <br /> Y K Tanks x S8.00 1988 through 1990 (S56) 1991 troroup 1996 (356) 1997 <br /> SURCHARGE FOR 1997 X xXxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxx S <br /> C PERMANENT CLOSURE (Removat or Authorized CLosure•in<Ptace) TANK I.O. $(s) <br /> L <br /> 0 CLOSURE FEE = S73.00/hour (3 hours mini TANK) 1► TANK(S) x SM.OO = f <br /> S <br /> U TEMPORARY CLOSURE (Plan Review & to Ctions) TANK I.D. X(4) <br /> it <br /> El TEMPORARY CLOSURE FEE = 373.00/hour (3 hours mini FACtLITY) $234.00 minimumf <br /> P INSTALLATION PLAN CHECK (Plan Review & Construction Inspections) TANK I.O. i(S) <br /> L <br /> A <br /> x PLAN CHECK FEE = 273.00/hour (3 hours mini FACILITY) $524.00 mini f <br /> REPAIR FEE (Workptan Review & Construction Inspections) TANK I.D. a(s) <br /> E <br /> P TANK LINING REPAIR FEE i S78.00/hour C3 hours mini TANK) 0 TANK(s) x SZ34.00 = S <br /> A <br /> I TANK RETROFIT REPAIR FEE a $78.00/hour (3 hours min./FACILITY) ' S234.00 minimum f <br /> R <br /> PIPING REPAIR FEE ' S7$.00/hour (3 hours miniaWFACILITY) ■ S234,00 mini S <br /> FIRANIFER FEE ■ $20.00 T IIED RELEASE EVALUATIONa $73,001hr 3 <br /> LTATION FEE • $78.00/hr LING INSPECTION FEE . 278.00/hr I f <br /> TOTAL DUE S, <br /> Fm OFFICE USE ONLY <br /> d�pplatlt9'tlf attRlYtRlilis!Frim=ii!:::'!�9iastl.^aea€, E :1;ox9g=.!g::-=:-;.^'^:.:9!N!^leat4.t*: t!!!:�xilydC6t1 :®:=^?,Tr•.a fifN1R11N1t�f p9flaMaQ9111!ltl;l:llrtmN. ttu- u:e�''¢-=_R::Sr!=:!:Ea;de*5�' tcy�•_.a:!a!v!ttuln <br /> '?diR.itie.•7!tu .n..i.,ipn4t_1,-::--45:41.::...r.a.:F.= - �l•E. =SRR°I ..�.a1..d.6xS :.rd;idEiK <br /> de EPS x COMPUTER X L� E DIST CODE NT RECEIVED CHECK 3/CASH RECEIVED SY DATE REL.r.IVED <br /> a <br /> e,Nfltph:�.4d7nHdtlillfiip:NaIf.,Aullir HN.Ai 11Y.-,!.IIir <br /> fN 23 032 (REVISED 5-27-97) 67 <br />