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1 -O . Q. ENVIRONMENTAL HEALTH ATMENT <br />UNDERGROUND STORAGE TANK PROGRAM FEE WORKSHEET <br />FACILITY NAME <br />—ACILITY CONTACT NAME <br />CLOSURE FEE = $279 / TANK <br />A <br />.. <br />.. <br />2002 <br />2003 <br />2004 <br />$500 FEE INCLUDES FACILITY FEE+ 1 TANK <br />($170)x(stanie) <br />UNAUTHORIZED RELEASE EVALUATION FEE =$93/HOUR <br />ACTIVE FACILITY - <br />TAN K ID # (s): <br />CLOSURE FEE = $279 / TANK <br />1999 <br />ISI1110 <br />WSW,, alKoji <br />2001 <br />2002 <br />2003 <br />2004 <br />$500 FEE INCLUDES FACILITY FEE+ 1 TANK <br />($170)x(stanie) <br />UNAUTHORIZED RELEASE EVALUATION FEE =$93/HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 93/ HOUR <br />$125 PER TANK AFTER FIRST TANK <br />CIRCLE WORKTO BE DONE: <br />Closure Installation Repai <br />$ <br />ACTIVE FACILITY - <br />TAN K ID # (s): <br />CLOSURE FEE = $279 / TANK <br />1999 <br />2000 <br />2001 <br />2002 <br />2003 <br />2004 <br />$500 FEE INCLUDES FACILITY FEE+ 1 TANK <br />($170)x(stanie) <br />UNAUTHORIZED RELEASE EVALUATION FEE =$93/HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 93/ HOUR <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.00/ FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Plaoe <br />TAN K ID # (s): <br />CLOSURE FEE = $279 / TANK <br /># TANKS X $279 = <br />TEMPORARY CLOSURE <br />Ian Review and In ions <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $279 / FACILITY <br />INSTALLATION PLAN <br />TANK ID # (a): I PLAN CHECK FEE _ $744 / FACILITY <br />REPAIR PLAN CHECK <br />TANKID# s <br />TANK RETROFIT REPAIR FEE = $279 / FACILITY use for monitoring equipment, spill budcets, tank surnps, mise. <br />PIPING REPAIR FEE = $279 / FACILITY (use for piping, under -dispenser containment, act.) <br />$ <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE = $ 93/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE =$93/HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 93/ HOUR <br />ALL FEES ARE QN 7 Hft WJ6 KWUK .T KA 1 C I Ind I Hli 1 C7caiCCuD rCs.7 rwv rvu a. oc ®n aso • a. eu-r rw, x... <br />