Laserfiche WebLink
11/03/2005 13:48 10 38 <br />ENVIRONMENf HEALTH PAGE 03 <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />UNDERGROUND STORAGE TANK PROGRAM FEE WORKSHEET <br />CITY STATE <br />S�'T_tVJ Ci� <br />APPLICANT NAME_ <br />APPLICANT MAILING ADDRESS <br />CITY I STATE <br />5 (��Cq �r <br />19 <br />$500 FEE INCLUDES FACILITY FEE a t TANK I Isnolztwnul <br />$125 PER TANK AFTER FORST TANK <br />TANK SURCHARGE a $15 / T <br />APPLICANT PHONE N WITH ARE <br />4/v <br />E CIRCL <br />U % Closure Insta <br />?000 1 2001 12002 f 2003 <br />V <br />PERMANENT CLOSURE <br />Removal or Permitted Closure In Place <br />TANK ID # (s): <br />CLOSURE FEE a $27Ri *--NK S TANKS X $279 = <br />TEMPORARY CL03URE <br />Plan R®vlew and ins ections <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE _ $278 / FACILITY <br />Re►rDlit <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE = $ 20 <br />$. <br />CONSULTATION FEE ' $ 93/ HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE U.93 93 / HOUR <br />$ <br />SAMPLING INSPECTION FEE = 5 93/ HOUR <br />$ <br />Al GC3 ADS ®A¢Cn eW TUC eel un.!!1 V ®.Ta. ni,! ..,,• ......�.... e�wa s..-...... - -•.. -- -- - --- _ - - _- <br />