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03/22/2012 06:17 0000000000 <br />0E=`I-`_E`_IttE-`_h`_b`_I-`_I-`_I`_I`_t0N PAGE 08/30 <br />SAN,TOAQUTN COUNTY <br />ENVIRONMENTAL HEALTu Dr;PARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: <br />(209) 468-3420 Tax: (209) 468-3433 N/eB:w.s' <br />v.or ehd <br />FACILITY NAME FACILITY CONTACT NAME <br />11 c, (I Jac; I <br />FACILITY ADDRESS <br />�k k ti <br />SITE PHONE #WITH AREA CObE <br />Z�/ ��s� <br />CITY <br />9S3 —�7q3 <br />STATE Z!P CODE # OF TANKS AT SITE <br />CA G ja .5-r2 n C <br />APPLICANT BILLING NAME <br />CT NAME <br />c Pe4col}e4lk\ Sc�'cYLI ��SAPPLICANT <br />AILING ADDRESS <br />#WITH AREA CODE <br />FF <br />/G G F�-G H k 4J e� <br />CVI <br />C{C Coln <br />�CITYSTATE ZIP CODETO BE DONE <br />r ��� CONTRACTOR ICC# <br />$500 FEE INCI.UDES FACILITY FEE + 1 TANK (2006.2007) 2006 2007 2008 2009 2010 2011 <br />$550 FEE INCLUDES FACII-TTY FEE+ 1 TANK (7.008-2011) <br />$125 PER TANK AFTER FIRST TANK $ <br />LANK SURCHARGE e $151 TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY INA CUPA PROGRAM =$49.00/ FACILITY <br />PERMANENT CLOSURE <br />Remov2l or Permlttcd Closure in Place <br />TANK Op #_(a CLOSURE FEE _ $$75 /TANK # TANKS X 375 = <br />TEMPORARY CLOSURE <br />Plan Review and Ins ections <br />TANK ID # (s) : TEMPORARY CLOSURE FEE o $375 / FACILITY $ <br />INSTALLATION PLAN CHECK <br />Plan Check and Constructlon Ons ections <br />TANK ID # (a): PLAN CHECK FEE = $1,0001 FACILITY $ <br />I ANK [L);; (S) <br />TANK RETROFIT REPAIR FEE o $375 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, $ <br />s ill buckets sums mise. <br />PIPING REPAIR FEE: _ $3751 FACILITY use for I In un'---ispe---- containment, ect. $ <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 25 <br />CONSULTATION FEE m $ 125/ HOUR $ <br />UNAUTHORIZED RELEASE EVALUATION FEE _ . 1251 HOUR $ <br />SAMPLING INSPECTION FEE = $ 1251 HOUR $ <br />ALL FEES ARE BASED ON THE $126 HpUAi,Y RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED To gppLlcgNT. <br />TOTAL AMOUNT DUE <br />It <br />