Laserfiche WebLink
SAN JOAQUIN L�IINTY PUBLIC HEALTH SERVICES-ENVIROIr)WTAL HEALTH DIVISION <br />UNDERGRWJND STORAGE TANK PROGRAM9WEE WORKSHEET <br />CAPITOL AUTO SALES <br />650 E. MINER AVENUE <br />STOCKTON <br />MR. JARGENDER SINGH <br />2091 466 9082 <br />95202 <br />ONE <br />APPLICANT BILLING NAME <br />$ <br />APPLICANT CONTACT NAME <br />JARGENDER SINGH <br />TANK LINING REPAIR FEE = $261 / TANK <br />JARGENDER SINGH <br />APPLICANT MAILING ADDRESS <br />TANK RETROFIT REPAIR FEE _ $261 / FACILITY <br />APPLICANT PHONE #WITH AREA CODE <br />650 E. MINER AVE <br />$ <br />CITY STATE <br />ZIP CODE CIRCLE WORK TO BE ONE: <br />STOCKTON CA <br />95202 <br />Closure Installation Repair Retrofit <br />AC HVE FACILITY <br />$500 FEE INCLUDES FACILITY FEE + 1 T/,NK <br />$125 PER TANK AFTER FIRST TANK <br />1995-1999 <br />X (# tanks) X (# of <br />2000 <br />i ravr� avr4.nAnlit <br />=R1 / TANK 3 <br />STATE SURCHARGE FOR FACILITIES NOT At ON INVENTORY IN A CUPA PROGRAM = $10 / FACIL ITY $10 -. 0 0 <br />REPAIR PLAN CHECK <br />$ <br />TANK ID # s <br />$ <br />TANK LINING REPAIR FEE = $261 / TANK <br /># TANKS X $261 = <br />$ <br />TANK RETROFIT REPAIR FEE _ $261 / FACILITY <br />$ <br />PIPING REPAIR FEE = $261 / FACILITY <br />$ <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />$ <br />CONSULTATION FEE _ $ 87/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE _ $ 87 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 87/ HOUR <br />ALL FEES ARE BASED ON THE fel HOURLY RATE. TIME THAT EJCCEEDs uses Delo wn i ce m, , _.. ......... ......_ <br />$ <br />T� <br />