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SAN JOAQQN k.®CAL. HEALTH D I STR I <br />UNIERUMai IM AN • FEE T <br />uireslTE NARE <br />FACILITY CONTACT NANE <br />SITE PHONE 1 arta Ansa coos <br />a SB T lip CON 1 el Tanks <br />Y CttY F. t!�t� at Site <br />A AMI APTISILLIN1 i APPLICANT CWTAC1 <br />NK <br />1 NAt A® APPLICANT 1 <br />t ICAT iNl <br />! STA e® r tw<.r.�trsa• sto. <br />77 <br />FACILITY FEE . 1100.00 each SITE ADDRESS per YEAR <br />C 1906 1987 1981 1909 <br />T <br />1 <br />` E TALE FEE R $50.00 each TANK <br />FJ..T,1 anks f__ _ x $50.0 1966 1'�I 1986 19x9 <br />Awitipt t by tee for <br />h ygar applicable) <br />I. STATE • 156.00 each T (see CA NEALTN ` EtY SIC 25281 for applicability) <br />T tanks, ._ �156;00 <br />1 tn1 1 I later 10"ar ) <br />CPE T CLO tReeoral or Closure-in-plueD <br />l 1 Tanks ...... Kilo-" <br />CL FEE A. 144.00 lack TANK <br />W R MENWARY <br />ARY CLOSURE (Only alloyed lae flee for up to t" years) <br />E CLOSURE FEE • $00.00 each TANK 1 Tanks_...._ x fa0.00 <br />PPLAN E(Installlgtiffl of Repair) <br />PLAN <br />PLAN 130.00 each SMISSION/RESURNISSION <br />REPAIR <br />v, R TANK REPAIR FEE • fits. each TANK 1 Talks ...... x 1114.E <br />:E <br />P <br />A PIP1N1 REPA1R/Cl 1 M. (fees are per hour! oininun ono herr to be pall on plan subntttat) <br />S tNN�)R RapicINSPECTION <br />WN 1111 RELEASE EVALUATION (whenplable) (when appplble <br />when appl <br />cable) <br />FEE • 130.00/hr FEE * 135.00/hr FEE • f35.001hr _..__._..-; <br />TOTAL IM <br />TOTAL <br />$ <br />f <br />