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COUNTY OF SAN JOAQUIN ACCOUNT NUMBER <br /> OFFICE OF EMERGENCY SERVICE S77 <br /> ROOM 401,COURTHOUSE <br /> 222 EAST WEBER AVENUE <br /> C9(jFO pH�P STOCKTON, CALIFORNIA 95202 <br /> BUSINESS EMERGENCY PLAN FEES <br /> BUSINESS NAME <br /> (J/'� ,v�' I BUSINESS PHONE NUMBER <br /> ��� <br /> BUSINESS CONTACT NAME <br /> BUSINESS ADDRESS CITY STATE ZIP <br /> BUSINESS EMERGENCY PLAN TYPE: ❑ <br /> LONG $240.00 FEE PLUS ,��,g HORT $60.00 FEE PLUS FORM ($15.00 PER HAZARDOUS <br /> MATERIAL) LL�f FORM ($10.00 PER HAZARDOUS MATERIAL) <br /> NUMBER OF HAZARDOUS MATERIALS: <br /> AMOUNT DUE • • <br /> T <br /> FEE NUMBER OF MATERIAL FEES <br /> HAZARDOUS MATERIALS <br /> i <br /> DATE DUE: ���' 1�� • •- • - • • • � <br /> EXAMPLES <br /> CALCULATIONS: <br /> Long Form Emergency Business Plans <br /> $240.00 Administrative Fee <br /> + $15.00/Hazardous Material <br /> (EXAMPLE: 1 Long Form Emergency Business Plan with 3 Hazardous <br /> Materials = $240.00 + (3 x $15.00) + $285.00) <br /> Short Form Emergency Business Plans <br /> $60.00 Administrative Fee <br /> + $10.00/Hazardous Material <br /> (EXAMPLE: 1 Short Form Emergency Business Plan with 3 Hazardous <br /> Materials = $60.00 + (3 x $10.00) = $90.00) <br /> If you have any questions or wish to discuss the calculations, please <br /> call 944-2116 to make an appointment. <br /> Thank you for your cooperation. IT <br /> CSJ10ES4H <br /> FILE COPY <br />