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p, <br /> SAN JO 11I N LOCAL HEALTH DIST�CT <br /> UNDUND STORAGE TANK PROGRAM • FEE WORKSHEET <br /> FFAC,tI�TY/StTE�NAMf. � FACILITY CONTACT NAME <br /> CI ' MEL BOKIDES PETROLEUM, INC. CARD= NO. 2 MEL BOKIDES (209) 943-2011 <br /> 6 STREET ADDRESS 983 �F,F,� ��� SITE PHONE 1 vivo "AA Go" <br /> T <br /> Y CITY MANTE;CA &T El ZIP CODE t of Tanks t Site 4 _ OUT / 2 — IN <br /> a <br /> AP APPLICANT/6ILLIN6 NME APPLICANT CONTACT NAME <br /> t� <br /> P PRECISION INDUSTRIES, ITC. <br /> KEN VANDL ------ 40EMIFT <br /> I NAILING ADDRESS APPLICANT PHONE 1 ",T" AmmA 0009 . <br /> C 1041 S. PERSHING AVENUE <br /> A _,_,_.,,,_,_._ _ _ (209) _462-9911 <br /> N CITY STAT ttpcODE TYPE of APPLICATION <br /> T STOCK`i'ON CA. 95206 cLo®uAm, I"mTALLATION, mT <br /> ,� INW E <br /> FACILITY FEE _ 1100.00 each SITE ADDRESS per YEAR TOTAL <br /> C 1986 1987 1988 1989 1990 <br /> T <br /> I _ ___.__ 100.00 { 100.00 <br /> V __..... <br /> E TANK FEE ® 150.00 each TANK !� <br /> F 1 Tanks 2_ x 150.00 1986 1387 1988 198'3 1990 <br /> A (multipTp 1 by lee for <br /> each year applicable) _ NEW TANKS 100.00 1 100.00 <br /> L STATE SURCHARGE = 156.00 each TANK (see CA HEALTH i SAFETY CODE Sec 25287 for applicability) <br /> T 1 Tanks2 x 156.00 1986 1987 _ 1988 . 1989 1990 <br /> Y (enter a___i t and year) <br /> ,._.,__..._.. NEW TANKS 112.00 1 112.00 <br /> C PERMANENT CLOSURE (Removal or Closure-in-place).•---~~~..—____._.__..-.-.__._..-...._..M-.__._..._ <br /> 0 CLONE FEE ® 590.00 each TANK — _ I Tanks 4 z 190.00 { 360.00 <br /> . TE ARY CLOSURE (Only allowed one time for up to tvo years) <br /> TEMPORARY CLOSURE FEE = 180.00 each TANK —'x_fg0.00—.______ <br /> _ 1 Tanks { <br /> P PIAN CHECK (installation or Repair) <br /> L p ._INSTALLATION <br /> A __......._ _..._.._..__..__.__......._._., <br /> N PLAN CHECK FEE s 130.00 each SUDMISSION/RESUDMISSION 1 30.00 <br /> REPAIR <br /> R TANK REPAIR FEE = $110.00ace h TANK t Tankss~1110.00 <br /> A PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum one hour to be paid on plan submittal) <br /> R UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION INSPECTION SAMPLING INSPECTION <br /> (when applicable) (when applicable) (when applicable) <br /> fEE • f30.00/hr FEE' 135.00/hrFEES 135.001hr <br /> TOTAL DUE f 702.00 <br /> D1FitcE tlSE @Mtr <br /> DIM 1. <br /> [SW!:EEPSl COMP 1 LOC CODE DIST CODE UNI DUE AMOUNT RCVD Cl rIICA5H RC DATE P.ECEIVEO PERMIT 1 <br /> _..................._._.. ..._..._... <br /> e�. , <br />