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r SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVSION, <br />UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br />C <br />PERMANENT CLOSURE (Removal or Authorizers Closure -in -Place) � <br />TANK I.D. #(s) <br />L <br />L <br />O <br />CLOSURE FEE = S78.00/hour (3 hours minitmm/TANK) I <br /># TANK(s)_Z— X 5234.00 = $ <br />00 <br />TOTAL <br />S <br />A <br />1986 <br />11487 <br />� 19$8 � <br />1989 <br />1990 <br />A <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br />TEMPORARY CLOSURE FEE = 578.00/hour (3 hours minimum/FACILITY) <br />XXXX <br />I XXXX <br />XXXX I <br />XXXX <br />XXXX <br />S XXXXXXXX <br />C <br />T <br />FACILITY PENALTY FEES ASSESSED (If Applicable) <br />XXXX <br />XXXX <br />XXXX <br />XXXX <br />XXXX <br />S XXXXXXXX <br />I <br />V <br />TANK FEE = S50.00/TANK <br />(Prior to January 1,1991) <br />5170/TANK <br />(After <br />January <br />1, <br />1991) <br />E <br />9 Tanks = <br />1988 1989 <br />1990 1 1991 <br />1992 <br />1993 1994 <br />1995 <br />1996 , <br />1997 <br />1998 <br />F <br />A <br />(multiply # by fee for <br />each year applicable) <br />XXXX XXXX <br />xxxx xxxx <br />XXXX <br />S <br />C <br />I <br />TANK PENALTY FEES ASSESSED I <br />XXXX XXXX <br />XXXX xxxx <br />XXXX <br />I <br />' <br />! <br />5 <br />L <br />I <br />STATE SURCHARGE FOR NEW FACILITIES ONLY=518.50 <br />5 <br />T <br />Y <br />#Tanks x $8.00 <br />1988 through 1993 <br />(556) <br />1993 <br />through <br />1997 (556) <br />1998 <br />SURCHARGE FOR 1998 <br />xxxxxxxxXXXXXXxxxxxxxXXXXXx <br />xxxxxxxxXxxxxxxxxxXXXXx <br />S <br />C <br />PERMANENT CLOSURE (Removal or Authorizers Closure -in -Place) � <br />TANK I.D. #(s) <br />L <br />L <br />O <br />CLOSURE FEE = S78.00/hour (3 hours minitmm/TANK) I <br /># TANK(s)_Z— X 5234.00 = $ <br />00 <br />S <br />S <br />A <br />U <br />TEMPORARY CLOSURE (Plan Review & Inspections) f <br />TANK I.D. #(s) <br />5. <br />R <br />E <br />TEMPORARY CLOSURE FEE = 578.00/hour (3 hours minimum/FACILITY) <br />$234.00 minimum S <br />P <br />INSTALLATION PLAN CHECK (Plan Review & Construction Inspections)I TANK I.D. #(S) <br />L <br />A <br />N <br />PLAN CHECK FEE = S78.00/hour (8 hours minimum/FACILITY) = $624.00 minimum <br />S <br />R <br />REPAIR FEE (Workptan Review &Construction Inspections) I TANK I.D. #(s) <br />E <br />P <br />TANK LINING REPAIR FEE = 578.00/hour (3 hours minimum/TANK) # TANK(s) X $234.00 = <br />5 <br />A <br />I <br />TANK RETROFIT.AEPAIR FEE = S78.00/hour (3 hours min./FACILITY) = $234.00 minimum <br />5. <br />R <br />PIPING REPAIR FEE = S78.00/hour (3 hours minimum/FACILITY) = $234.00 minimum <br />$ <br />M TRANSFER FEE = S20.00 ' UNAUTHORIZED RELEASE EVALUATION = S78.00/hr I 5 <br />I � 1 <br />S <br />C L. CONSULTATION FEE = S78.00/hr I SAMPLING INSPECTION FEE = 578.00/hr S <br />TOTAL DUE S <br />FOR OFFICE USE ONLY _._.._ <br />.................................................._........................,:: --...................:••_•.. ....... -_._..........._....._.........._.._..._._._.. ..... <br />_................._......_......__................._....................................._...._..............._.. <br />:::::::�•:::::..,:::::::�:�:::� :�_:_ ............. �=�_:�:::_.:�:::_ �� ..�-�.:_::_—.•:-�:�::::-::�:::w •�:�.:—:::: _� •:-��:.:_:__:•=•::_w�_::z=:::-::_:_:�::::�: M:::::M:_.•�_ ....:::. • •rte <br />SWEEPS # COMPUTER # I LOC CODE ' DIST CODE iI AMOUNT RECEIVED CHECK #/CASH - �- RECEIVED BY I� DATE RECEIVED <br />Gu 7� n;;) (RFVTSFO 1-12-98) <br />