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SAN JCACUIH COUNTY PUBLIC HEALTH S'cRVIC_S <br /> ENVIRCHMENTAL HEALTH OIVISICN <br /> UNOERGRCUND STCRAGE TANK PRCGRA4 - FEE UCRXSHEET <br /> FACILITY SITE NAME FACILITY CONTACT NAME <br /> F <br /> A LAWRENCE LIVERMORE NATIONAL LABORATOR BOB SETTLE <br /> C <br /> I FACILITY AOORESS SITE PHONE with AREA CCOE <br /> j SITE 300 CORRAL HOLLOW RD, (510) 423-5386 <br /> T CITY STATE ZIP CCOE T of TANKS <br /> Y TRACY CA 95376 at SITE 2 <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P HESS & HESS CONSTRUCTION, INC . BILL IRONS <br /> L <br /> I HAILING ADORESS (APPLICANT PHCHE I WITH-AREA CCOE <br /> C 3819 Duq42-1918 <br /> N CITY STATE ZIP CODE TYPE of APPLICATION <br /> T STOCKTON ICA 95215 CLOSURE, INIITALLATICM, *to. INSTALLATI N <br /> TOTAL <br /> A <br /> C 1986 1987 11988 1989 1990 <br /> T ANNUAL FACILITY FEE (Prior to January 1, 1991) = S100.00 <br /> I S <br /> V <br /> E TANK FEE = 550.00/TANK (prior to January 1,1991) 5170/TANK (after January 1, 1991) <br /> F I" Tanks = 1986 1987 1988 1989 1990 1991 1992 11993 1 1994 1 1 <br /> A (multiply 4 by fes for r� <br /> C each year applicable) X 5 340 ,00 20 <br /> I <br /> L STATE SURCHARGE = $56.00 each TANK (Due every 5 years) See California H I S Code, Sectio;f'2667 <br /> I <br /> T r Tanks x $56.00 1986 through 1990 1991 through 1996 <br /> T (enter amocnc and year) <br /> S 112 ,00JAI <br /> ZPERMANENT CLOSURE (RemcvaL or Authorized C(osure-in-Place) I TANK I.D. '(s) <br /> C <br /> L CLOSURE FEE = S53.00 ,per hcur (3 hours minimum per TANK) ( TANK(s) X S159.00 = S <br /> 0 <br /> S <br /> U TEMPCRARY CLOSURE (A ore-time permit, for review b inspections TANK I.D. �"(s) <br /> R <br /> E TEMPCRART CLOSURE FEE = S150.00 each TANK 1 O'TANK(s) X 5150.00 = S <br /> P PLAN CHECX (Install. Plan Review b Construction Inspections) TANK I.D. :(s) / <br /> L <br /> A <br /> N PLAN CHECK FEE - 553.00 per hour (8 hcurs minirtcm per Facility) = 5424.00 minimus is 424 .00 <br /> R REPAIR I TANK I.D. (s) <br /> P TANK REPAIR FEE = S53.00 per hour (3 hours minimun/TANK) 1 TANK(s) X 3159.00 = S <br /> A <br /> I <br /> R PIPING REPAIR REVIEW I CCHSTRUCTICN = S53.00 per hour (3 hour minimum per facility = S159.00) s <br /> 4 CCNSULTATICHS I UNAUTHCRIZED RELEASEE EVALUATION I SAMPLING INSPECTION <br /> S <br /> F=E,= S53.00/hr I FEE = S53.00/hr 1 I FEE = 3 53.00/hr <br /> TOTAL DUE V 876 .0 <br /> OFFICE USE CULT <br /> --.......... <br /> . M.M .'....... .... ..................... <br /> ... - S .<......... <br /> �Yw Rfy�M <br /> �:cerS CC4P SOC C Dt -JEii�"CODE "i1�ICU}1=i '`,;h't.: Cc:<' C.15'n` : r <br /> I s <br /> 7G <br /> .. ........ ...._............-...._. ............................. <br /> ....... .... ....... .... .. . .. . <br />