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SAN JOAQUIN MKTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL IMLTH DIVISION <br />UKIWOUND STORAGE TANK PROGRAM - FEE WORKSHE <br />FOR OFFICE USE ONLY <br />SWEEPS 9 I COMPUTER # LOC CODE I DIST CODE I AMOUNT RECEIVED I CHECK #/CASH RECEIVED BY I DATE RECEIVED <br />TOTAL <br />A <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br />1986 <br />1987 1988 1989 <br />1990 <br />XXXX <br />XXXX XXXX XXXX <br />XXXX S <br />XXXXXXXXXXXXX <br />C <br />T <br />FACILITY PENALTY FEES ASSESSED (If Applicable) <br />XXXX <br />XXXX XXXX XXXX <br />XXXX <br />$ <br />XXXXXXXXXXXXX <br />I <br />V <br />TANK FEE = 550.00/TANK (Prior to January 1,1991) <br />5170/TANK (After January 1, 1991) <br />E <br />F <br />A <br /># Tanks = <br />(multiply # by fee for <br />each year applicable) <br />1986 <br />1987 1988 1989 1990 <br />1991 <br />1992 <br />1993 <br />1994 1995 <br />1996 <br />XXXX <br />XXXX XXXX XXXX XXXX <br />S <br />C <br />11 <br />L� <br />I <br />TANK PENALTY FEES ASSESSED XXXX XXXX XXXX XXXX X%XX <br />STATE SURCHARGE = $56.00 each TANK (Due every 5 years) See California H & S_ Code, Section 25287 <br />$ <br />T <br />Y <br /># Tanks x $56.00 <br />(Enter amount and year) <br />1988 through 1990 <br />1991 through 1996 <br />5 <br />C <br />PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) <br />TANK I.D. #(s) <br />L <br />0 <br />CLOSURE FEE = 578.00/hour (3 hours minimum/TANK) <br /># TANK(s) X 5234.00 = <br />S <br />S <br />U <br />TEMPORARY CLOSURE (Plan Review & Inspections) <br />TANK I.D. #(s) <br />R <br />E <br />TEMPORARY CLOSURE FEE = 578.00/hour (3 hours minimm/FACILITY) <br />5234.00 minimum <br />5 <br />P <br />INSTALLATION PLAN CHECK (Plan Review & Construction Inspections) <br />TANK I.D. #(s) <br />L <br />A <br />N <br />PLAN CHECK FEE = 578.00/hour (8 hours minimum/FACILITY) <br />= 5624.00 minimum <br />S <br />R <br />REPAIR FEE (Workplan Review & Construction Inspections) <br />TANK I.D. #(s) <br />E <br />P <br />TANK LINING REPAIR FEE = 578.00/hour (3 hours minimum/TANK) <br /># TANK(s) X 5234.00 = <br />S <br />A <br />I <br />TANK RETROFIT REPAIR FEE = 578.00/hour (3 hours min./FACILITY) <br />= 5234.00 minimum <br />$ <br />R <br />PIPING REPAIR FEE = 578.00/hour (3 hours minimum/FACILITY) <br />= $234.00 minimum <br />S <br />M <br />TRANSFER FEE = 520.00 UNAUTHORIZED RELEASE EVALUATION = 578.00/hr <br />S <br />I <br />S <br />C <br />CONSULTATION FEE = 578.00/hr SAMPLING INSPECTION FEE <br />= 578.00/hr <br />S <br />TOTAL <br />DUE <br />S <br />FOR OFFICE USE ONLY <br />SWEEPS 9 I COMPUTER # LOC CODE I DIST CODE I AMOUNT RECEIVED I CHECK #/CASH RECEIVED BY I DATE RECEIVED <br />