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SAN JOAQUIN COUN#UBLIC HEALTH SERVICES -ENVIRON MEN* EALTH DIVISION <br />UNDERGROUND STOR-AGE TANK PROGRAM FEE WORKSHEET <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />CAPITOL AUTO SALES <br />MR. JARGENDER SINGH. <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />650 E. MINER AVENUE209 <br />466 9082 <br />CITY <br />STATE <br />ZIP CODE <br /># OF TANKS AT SITE <br />STOCKTON <br />CA <br />95202 <br />ONE <br />BILLING NAME' <br />TANK ID # (s): <br />APPLICANT CONTACT NAME <br />JARGEND <br />2000 <br />JARGENDER SINGH <br />ESINGH <br />ILING ADDRESS <br />($170) X (# tanks) X (# of years applicable) <br />APPLICANT PHONE #WITH AREA CODE <br />650 E. <br />STATE <br />STOCKTON CA <br />209 466 9('82 <br />ZIP CODE CIRCLE WORK TO BE DONE: <br />95202 Closure Installation Repair Retrofit <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE= $261 / TANK <br />1995-1999 <br />2000 <br />TANK ID # (s) : <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK <br />($170) X (# tanks) X (# of years applicable) <br />TANK RETROFIT REPAIR FEE = $261 / FACIL'1Y <br />PIPING REPAIR FEE = $261 / FACILITY <br />$ <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED - <br />TANK SURCHARGE = $8 /TANK <br />$10.00 <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM = S19 / FACILITY <br />PERMANENTCLOSURE <br />Removal or Permitted Closure in Place _ <br />TANK ID # (s): <br />CLOSURE FEE= $261 / TANK <br />#TAI 1KS X $261 = <br />TEMPORARY CLOSURE <br />Plan Review and Ins eclions <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $261 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s): _ <br />$ <br />TANK LINING REPAIR FEE = $261 / TANK # TANI CS X $261 = <br />$ <br />TANK RETROFIT REPAIR FEE = $261 / FACIL'1Y <br />PIPING REPAIR FEE = $261 / FACILITY <br />= $ 87/ <br />OFFICE USE ONLY <br />FEE <br />