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Y <br /> N Op <br /> COUNTY OF SAN JOAQUIN ACCOUNT NUMBER <br /> C <br /> Q: < <br /> OFFICE OF EMERGENCY SERVICE <br /> Mt � <br /> ROOM 610, COURTHOUSE <br /> 222 EAST WEBER AVENUE <br /> • r . l" • STOCKTON, CALIFORNIA 95202 <br /> 9CiFOPi+ <br /> BUSINESS EMERGENCY PLAN FEES <br /> BUSINESS PHONE NUMBER <br /> BUSINESSNAME <br /> ;� <br /> MACH I NEE <br /> O <br /> BUSINyf&jW3 LCgWME <br /> CITY 7f YTfAI STATE,,nq "P ,-15206 <br /> BUSINEfWDF OR <br /> LONG /$240.00 FEE PLUS \ SHORT /$1000 FEE PLUS <br /> BUSINESS EMERGENCY PLAN TYPE: F-1FORM `$1500 PER HAZARDOUS MATERIAL El ORT <br /> $m00 PER HAZARDOUS MATERIAL <br /> T <br /> NUMBER OF HAZARDOUS MATERIALS: <br /> AMOUNT DUE <br /> ( 4 X S 15.00 _ <br /> FEE + NUMBER OF MATERIAL FEES <br /> HAZARDOUS MATERIALS <br /> 04/24P;2WHITE COPY MUST <br /> BE RETURNED WITH <br /> YOUR REMITTANCE — <br /> DATE DUE: • • ' • ' • RECORDS. <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 468-3969 to make an appointment. <br /> Thank you for your cooperation. <br /> CSJIOES-01 <br />