COMPLIANCE INFO_1987-2006 - Laserfiche WebLink

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SAN JOAQUIN Cq0TY PUBLIC HEALTH SERVICES-ENVIRO*TAL HEALTH DIVISION UNDERGROUND STORAGE TANK PROGRAM FEE WORKSHEET APPLICANT1M;W904VWE— APPLICANT CON ACT NAME r7 1996-1999 —APPLICANT MAILING ADDRESS APPLICANT PHONE #WITH AREA CODE $500 FEE INCLUDES FACILITY FEE + 1 TANK —C1ft-WOkK—TO CITY TATE ZIP CODE CLE BE DONE: Closure installarlo Repair -Retrofit SAMPLING INSPECTION FEE $ 89/ HOUR mr. R5 i r-nTn APPLICANT. % ACTIVE FACILITY TANK ID # (s): CLOSURE FEE= $267 /TANK 1996-1999 2000 2001 $500 FEE INCLUDES FACILITY FEE + 1 TANK ($170) X,'t# tanks) X (# of years, applicable) UNAUTHORIZED RELEASE EVALUATION FEE = $ 891 HOUR $ PIPING REPAIR FEE = $267 / FACILITY SAMPLING INSPECTION FEE $ 89/ HOUR mr. R5 i r-nTn APPLICANT. $125 PER TANK AFTER FIRST TANK TANK PENALTY ASSESSED TANK SURCHARGE = $8 / TANK STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM = $10 FACILITY $ PERMANENT CLOSURE (Removal or Permitted Closure in Place) TANK ID # (s): CLOSURE FEE= $267 /TANK # TANKS X$267= TEMPORARY CLOSURE (Plan Review and Inspections)_ TANK ID # (s): TEMPORARY CLOSURE FEE $267 / FACILITY INSTALLATION PLAN CHECK (Plan Check and Construction Inspections) TANK ID # (s): 1. , PLAN CHECK FEE = $712 / FACILITY REPAIR PLAN CHECK $ TANK ID # (s): TANK LINING REPAIR FEE $267 TANK # TANKS X $267 TRANSFER FEE $20 $ $ TANK RETROFIT REPAIR FEE = $267 1 FACILITY UNAUTHORIZED RELEASE EVALUATION FEE = $ 891 HOUR $ PIPING REPAIR FEE = $267 / FACILITY SAMPLING INSPECTION FEE $ 89/ HOUR mr. R5 i r-nTn APPLICANT. MISCELLANEOUS TRANSFER FEE $20 $ CONSULTATION FEE = $ 89/ HOUR $ UNAUTHORIZED RELEASE EVALUATION FEE = $ 891 HOUR $ SAMPLING INSPECTION FEE $ 89/ HOUR mr. R5 i r-nTn APPLICANT. ALL rCCQMnr