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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES-ENVIRON AL HEALTH DIVISION <br /> UNDERGjfiND STORAGE TANK PROGRAM - FEWORKSHEET <br /> S FACILITY SITE NAME FACILITY CONTACT NAME <br /> I Lawrence Livermore National Laboratory C.Susi Jackson <br /> (LLNL) <br /> T FACILITY ADDRESS SITE PHONE#with AREA CODE <br /> E Corral Hollow Road (510)423-6577 <br /> & CITY STATE ZIP CODE #OF TANKS at SITE <br /> A Tracy CA 95376 1 for Buildins 829 <br /> P APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P LLNL C.Susi Jackson <br /> L MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> I 7000 East Ave.,P.O.Box 808 (510)423-6577 <br /> C CITY STATE ZIP CODE TYPE OF APPLICATION(Closure,Installation,etc.) <br /> A <br /> N Livermore CA 94550 Tank closure <br /> T <br /> Tarns. <br /> A ANNUAL FACILITY FEE(Prior to 1986 1987 1988 1989 1990 <br /> C January 1,1991) =$100.00 <br /> T $ <br /> I <br /> V FACILITY PENALTY FEES ASSESSED $ <br /> E (if a licable) <br /> TANK FEE=$50.00/TANK(Prior to January 1,1991) 170/TANK <br /> After Janua 1,1991) <br /> F #Tanks = 1986 1987 1988 1989 1990 1991 1992 11991 1944 1995 1996 <br /> A (multiply #by fee <br /> for <br /> C each year $ <br /> I applicable <br /> i <br /> L TANK PENALTY $ <br /> I FEES ASSESSED <br /> T STATE SURCHARGE=$56 each TANK(Due every 5 years)See Califon-da H&S Code,Section 25287 <br /> Y <br /> #Tanks=_x$56.00(enter amount and 1986 through 1990 1991 through 19% <br /> year) <br /> $ <br /> IS <br /> PERMANENT CLOSURE(Removal or Authobzed Closure- TANK ®o 1 <br /> in-Place) I.D.#(s)_ «meq CLOSURE FEE-$78.00/hour(3 hours TANK I.D.#(s) 1 x$234.00= $ 234.00 <br /> minimum/TANK) <br /> U TEMPORARY CLOSURE(Plan Review&Inspections) TANK I.D. <br /> R I#(s) <br /> E TEMPORARY CLOSURE FEE=$78.00/hour #TANK(s)_x$234.00= $ <br /> (3 hours minimum/TANK) <br /> P INSTALLATION PLAN CHECK(Plan Review& TANK I.D. <br /> L Construction Ins ons) I#(S)_® <br /> A PLAN CHECK FEE-$78.00/hour(8 hours minimum/Facility)=$624.00 minimum $ <br /> N <br /> R REPAIR FEE(Workplan Review&Construction TANK I.D. <br /> E Ins ons) #(s)_� <br /> P TANK LINING REPAIR FEE=$78.00/hour(3 hours TANK I.D.#(s) x $ <br /> A minimum/TANK) $234.00= <br /> I TANK RETROFIT REPAIR FEE=$78/hour(3 hours minimum/FACIL.TTY)=$234 nunimum $ <br /> R <br /> PIPING REPAIR FEE=$78.00/hour(3 hour minimum/FACILITY)=$234.00 minimum $ <br /> 11 <br />