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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF,T <br /> 600 East Main Street, Stockton,CA 95202-3(j/-y <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sj o�vor /�ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Penske ruck Leasing <br /> FACILITY A RESS SITE PHONE#WITH AREA CO <br /> 3663 Petersen Rd <br /> F <br /> Y STATE ZIP CODE #OF TANKS AT SITE <br /> ckton CA 95215 <br /> APPLICANT BILLING NAM APPLICANT CO ACT NAME <br /> HMC - Hende on Maintenance Company Carl Wayne Henderson <br /> APPLICANT MAILING ADDRESS APPLICANT HONE#WITH AREA CODE <br /> P ox 31325 209 467-7573 <br /> CITY TATE ZIP CODE ClCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Stockton 95213 Clo re Installation Repai Retrofit 5252923-UT <br /> ACTIVE FACILITY <br /> 04 2005 2006 2007 2008 2009 <br /> $500 FEE INCLUDES FACILITY FEE 4. 1 TANK(200 008) <br /> $550 FEE INCLUDES FACILITY FEE+ 1 TANK(2009) <br /> $125 PER TANK AFTER FIRST TANK $ <br /> $ <br /> TANK PENALTY ASSESSED <br /> $ <br /> TANK SURCHARGE=$15/TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREA ON INVE TORY INA CUPA PROGRAM=$24.00/FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID#(s): $CLOSURE FE =$315/TANKT #TANKS X$315= <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID#(s) : TEMPORARY CLOSU E FEE=$315/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Ins a ions <br /> $ <br /> TANK ID#(s) : PLAN CHECK FEE—$840!FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s) : <br /> TANK RETROFIT REPAI FEE _$315/FACILITY (use for monitoring equipment,cold starts, Egrades, $ <br /> spill buckets,sumps,misc. V p315.00 <br /> PIPING REPAIR FE _$315/FACILITY (use for piping, under-dispenser containment,ect.) <br /> MISCELLANEOU <br /> $ <br /> TRANSFER F = $20 <br /> $ <br /> CONSULTAION FEE _ $105/HOUR <br /> $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $ 105/HOUR <br /> $ <br /> SAMPLING INSPECTION FEE = $105/HOUR <br /> ALL FEES ARE BASED ON THE$105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE REC VED <br /> SR <br /> FN Ti nv>76mi C m w3m-ainat <br />