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FEE-12-1996 07:30 P.03 <br /> 01/15/20DO SUB 16152 SAY 2096153437 SdC SRO QIOD7/DOS <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E49 Main$deet,Stockton,CA 93202-3029 <br /> Te(ephowe. (209)466.3420 Fax:(209)468.3433 Web:wwA og0y.rnalehll <br /> FACIUll NAME FALAI Pa(-ex <br /> NAME <br /> Che✓rnn on m i <br /> FACILITY ADDRESS SITE PHONE#WTm AREA DE <br /> 3'fa 0 /�1ce c 4r-Yh u� r. Za f 3 4- /77-o <br /> qTYST AP OE SOF TANK AT BETE <br /> T �C1 CA 5 r2i <br /> APPLICANT BILLING NAME P ANT CONTACT N <br /> Len f'- l 4'" 'e-" � <br /> APDL CANT LNO AO ESS AP NTP ONE 0 wlnf-RFA CODE <br /> 1,76 orrl , q2� yGz - yoGa <br /> G TY STATE 21P GR WOR TO BE GONE CDNTRAOTOR ICC Y <br /> d k-1) P'U CA I lv.� Clnuro Irypllll qe • roM <br /> CTWE FACIUTV <br /> 6500 FEE INCLUOES FACILITY FEE• I TANK(2002.2007) 2 2006 2006 2007 2008 <br /> 7550 FEE INCLUDES FACILITY FEE* I TAW(MOO) <br /> $123 PER TANK AFTER FIRST TANK $ <br /> TANK PENALTY ASSESSED $ <br /> TANKSURCHARGE•673/TANK S <br /> STATE SURCHARGE FOR FACIU71E6 N YALRE AOYON INVENTORY IN A CUPA PROORAM-62400/FACILITY $ <br /> PEiMANEWYCLOSUKE <br /> (Removal or P nriaed Cly ro 1 <br /> TANK I 6 c CLOSURE CL0.4U E FE6• 2041 TANK 0 TANKS X 6284• $ <br /> TEMPORART <br /> PNn Reyie,E erVl b g0enc <br /> TANK IDS(s): TEMPORARY CLOS RE FEE.82941 FACILITY $ <br /> INSTALLATION PLAN-0-WOR <br /> e1M Connrupbn In bne <br /> TANK ID 0(c PLAN CNSCK PEE• 704/FACILITY $ <br /> P P CNEC <br /> TANK IDS(e) <br /> TANK RETROFIT REPAIR FEE *$284/FAGLITY (uu fw m0n0PrinS 714VbrN9�l,wU Melh.EVR Vparedee. <br /> Buchlf euro nVee. <br /> PIPING REPAIR FEE • 94/F GLITY Iux fOr In nder+ll• WMSI n eol.) $ <br /> AllsDel ous <br /> 8 RFEE . 20 $ <br /> CONSULTATION FEE • IMP HOUR $ <br /> 10"LITHORRED RELEASE EVAL TION FEE = 6 061 HOUR $ <br /> SAMPLINO INSPE&T FEE a6,HOUR 3 <br /> ALL FEE6A 3A0 NT Iq RLY RATE TIME"AT EYCEE05F EaP YIKL 6F 91l LEY TO ADPL K:ANT. <br /> OFFICE USE ONLY <br /> f • FA f IDYD N1 6 CNEC • REC IVEO PATE VED <br /> SR <br /> EM A Oi!(R6v1gD 1NitA171 <br /> f:0o Std 61:100 LOOZ Cl CO <br />