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L � <br />" SAN JOAQU I N' �• z � T®R <br />COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET vy <br />A TOTAL <br />C 1986 1 19871-M 8 1989 1990 <br />T ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br />1 $ <br />V <br />E TANK FEE = 550.00/TANK (prior to January 1,1991) $170/TANK (after January 1, 1991) <br />F 0 Tanks = 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 <br />A (multiply # b fee for <br />C each year applicable) s <br />t g <br />L STATE SURCHARGE = $56.00 each TANK (Due every 5 years) See California H & S Code, Section 25287 <br />i <br />T # Tanks x $56.00 1986 through 1990 1991 through 1996 <br />Y (enter amount and year) <br />P <br />PLAN CHECK (install. Plan Review & Construction Inspections) <br />TANK I.D. #(s) <br />L <br />TANK REPAIR FEE = $53.00 per hour (3 hours minimum/TANK) <br /># TANK(s) X $159.00 $ <br />A <br />aaoxeexeeoe moo�oeea.»ooxoeoexosxae�aeao�eaexa«exooxoeee�000xwaoxooexooxaeee�000xeaaoe <br />becA�s�s�eo=ea»xeeeeeeeeeeemr <br />N <br />PLAN CHECK FEE - $53.00 per hour (8 hours minimum per Facility) _ $424.00 minimum $ , <br />R <br />E <br />REPAIR FEE (workplan review & construction inspections) <br />TANK I.D. #(s) <br />P <br />A <br />TANK REPAIR FEE = $53.00 per hour (3 hours minimum/TANK) <br /># TANK(s) X $159.00 $ <br />I <br />aaoxeexeeoe moo�oeea.»ooxoeoexosxae�aeao�eaexa«exooxoeee�000xwaoxooexooxaeee�000xeaaoe <br />becA�s�s�eo=ea»xeeeeeeeeeeemr <br />R <br />PIPING REPAIR FEE = $53.00 per hour (3 hour minimum per facility = $159.00) <br />$ <br />M CONSULTATIONS <br />I <br />S <br />C FEE = $53.00/hr <br />UNAUTHORIZED RELEASE EVALUATION SAMPLING INSPECTION <br />FEE = $53.00/hr FEE _ $ 53.00/hr <br />TOTAL DUE <br />OFFICE USE ONLY <br />.................................................. .... <br />xaoxaarxa»xesxoeeexes xmm aen �ees�,�..•......,..........................................----- --- --------- -- -- <br />--- <br />S1 S" 1 <br />y ss <br />r0'r ) <br />S <br />aaoxeexeeoe moo�oeea.»ooxoeoexosxae�aeao�eaexa«exooxoeee�000xwaoxooexooxaeee�000xeaaoe <br />becA�s�s�eo=ea»xeeeeeeeeeeemr <br />�.,.,,........................ <br />_... <br />..... <br />.. •• •••••••••••.•.•• <br />xe000 �exaaaxos xoowxeo <br />••..•••••••••••• <br />xao»xeo ieeeee aes,em,•,m,,,d;;.,.;..:t <br />=..:..:• ••.. ..•.••••••---•-,., .s <br />----•---...�..._...........,.-....�,.,-,.,����x�=ca� u�earmac�ast�iTe�tsi�aa"xi�zattssa� <br />EH 23 032 (REV 1/10/91) ft Pace 11 <br />0\ <br />