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I <br /> JaUVIN COUNTY PMIC MALTH Svvt= - &Vt AL W-44TX t}IYSICN <br /> UMMG=PM STMUM TAMC PRCK,x2A)t - Fa <br /> Sl FACILITY SITE "ME � <br /> FACILITY CONTACT NAME <br /> T <br /> OKI ( 1164- <br /> $ FACILITY ADORSSS <br /> SITE PHONE 0 wick AREA COO£ <br /> R LID, <br /> CITY S_TAT9 Zia CMF # of TAROS <br /> P `•A-f7 ax SITE i <br /> P APPttGA)iYlBtLLiNG HAM <br /> I APP WAMT TAC; NAME <br /> 1�t � <br /> C t1AtLIMG AOORESS <br /> " �n , APPLICANT PtlQME x WITH AREA <br /> L <br /> -1T Clr i STAT21 ZIP CAE TYPE of APPLICATION E0 Et <br /> 74-7 (CIO$ui'8, Ins•.attation, @CC. � <br /> TOTAL <br /> 1986 1987 f IM 1989 1990 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) ; $100.40 <br /> A xx= pI ( S <br /> C 1 <br /> T FACILITY PENALTY FEwS ASSESSED (If Appitca te) X)pOC XXXX } ( ; <br /> I r f <br /> V TANK FEE = S54.00/TANK (Prior to lansary 1,1991) 5170/TANK (After January T, 1991) <br /> E <br /> Teaks = 1986 j 1987 1988 1989 1990 1991 <br /> F (muttipty l by fee for 1498 1993 1944 1495 1996 <br /> ' <br /> Aleach year apptieabte) XXXX XXXX ! I { § <br /> C <br /> I TANK PENALTY FEES ASSESSED ( XXXX � XX= <br /> Lf <br /> iE STATE SURc.unE = su.00 eats T (ow very i years) See cat ifornia m & S code, Section.25287 <br /> T <br /> Y x Tanks x S56.00 1968 :hrough 1440 1991 through 1996 <br /> (tinter aunt an* year) <br /> S <br /> CPERMANENT CLMRE (?W vat or Authorized Ctixure-in-ptace) TANK I.A. x(s) <br /> L <br /> 01 CLOSURE FEE = 578.00/hour (3 hours a siniat,or/TANK) A TANKCs) X 5234.00 = Z <br /> U TEMPORARY CLOSURE (Pt4n Review & Inspections) TAMK F.D. #(s) <br /> R <br /> El TMVQWY CLOSURE FE-r S78.00/hour (3 hours sinimua/FACILITY) I 5234.00 minim= S <br /> P# INSTALLATION PLAN CI!CX Man Review & Cznsz-uaticn Inspections} TANK I.D. :(s) <br /> L <br /> A <br /> X PLAN C)iECK FeE 878.00/hour C8 hours miniaWFACILITY) a $624.00 minimum S Z ,� <br /> RI <br /> REPAIR FEE (Horuptan Review & Constrwsion �nzmctiof) TANK I.D. !(s) <br /> P <br /> A TANK LINING REPAIR FII_ = 578.00/how (3 bou`5 mini=wTANK) 9 TANX(5) X 5234.00 = S <br /> I TANK RETROFIT REPAIR FEE s M.Mlhour C3 hours *in./FACILITY) z SM4.00 minimum S <br /> R <br /> PtPtNG REPAIR FEE = 578.00/hour (5 hours sihimsm/FACILITY) a 5234.00 minimum i Z <br /> N1 TRANSFER FLS : 520.40 i � UMAUTRQRIZ„£0 RELEASE EVALUATION S78.00/hr � . � S <br /> i <br /> C CO)ISAILTATIQN FEE = 578.00/hr I SANPt.tNG INSPECTION FEE a 578.00/ttr S <br /> TOTAL WE <br /> FM OFFICE USE ONLY <br /> SHE°r5 4 CCMPUT'e3 LOC CME } DISC BOE AM=T REC:-IVED ( CXECX -/CASH RELIVED 3T ! SATE 2ECEIVED <br /> 1 <br /> j rr e <br /> 017.—._�..�.�.�_ .�_� __�._....�.IE;.119MtN'.k ILtflWYi�.�_x_� __:lij;C•••»•9•••.•--_�..� _. <br />