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�► `�.,L* <br />r SAN JOAQUIN CLZ- PUBLIC HEALTH SERVICES - ENVIRONMENTAL <br />FEE WORKSHEET DIVSION <br />taunt:—orY Wn STORAGE TANK PROGRAM <br />C PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) TANK I.O. #(s) <br />L # TANK(s) X $234.00 = $ <br />O CLOSURE FEE = $78.00/hour (3 hours minimum/TANK) <br />STANK I.D. #(s) <br />U TEMPORARY CLOSURE (Plan Review & Inspections) <br />R$ <br />E TEMPORARY CLOSURE FEE = $78.00/hour (3 hours minim/FACILITY) $234.00 minimum <br />P INSTALLATION PLAN CHECK (Plan Review & Construction Inspections) TANK I.D. #(s) <br />L <br />A= $624.00 minim $ <br />NI PLAN CHECK FEE = $78.00/hour (8 hours minimum/FACILITY) <br />R REPAIR FEE (Workplan Review & Construction Inspections) TANK I.O. #(S) <br />EX <br />P TANK LINING REPAIR FEE = $78.00/hour (3 hours minimum/TANK) # <br />TANK(s) $234.00 = <br />$ <br />A = <br />I TANK RETROFIT REPAIR FEE = $78.00/hour (3 hours min./FACILITY) <br />$234.00 minim <br />$ <br />R = <br />PIPING REPAIR FEE _ $78.00/hour (3 hours mini m/FACILITY) <br />$234.00 minim <br />$ <br />M TRANSFER FEE _ $20.00 <br />UNAUTHORIZED RELEASE EVALUATION <br />= $78.00/hr <br />$ <br />I <br />SAMPLING INSPECTION FEE <br />= $78.00/hr <br />$ <br />S <br />C CONSULTATION FEE _ $78.00/hr <br />TOTAL DUE I $ <br />FOR OFFICE USE ONLY <br />:::_:saas::s::-::s::_:a::::::s:---:::::-sr :s-::a:::—�_:_ =- : =`- - - ....................... <br />:::-::-::::::::::::_::_::::_.-:::::......:-:_::::-::::_;_ : =._ -: :s :s::::: s::::::: ss: -:._..::- :::ss = s ::_ _ = :s __ _ s;:= - :_' == :._.::::_:sa_::: -__:: __._:__I VED:::: <br />....._...-...---..._.._....- -- ...._----•-- - --- ... <br />SWEEPS # I COMPUTER # LOC CODE DIST CODE I AMOUNT RECEIVED I CHECK #/CASH RECEIVED BY I DATE REC <br />�� $ <br />