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Sep•_23 2008 10:01AM Slaker Construction 951-788-7089 p.3 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Tdephome: (209) 468-3420 Fax. (209) 468-3433 Web: w.sjgo gF�¢ <br />FACUJTY NAME FACKJTY CONTACT NAME <br />4 <br />FACILITY ADDRESS SITE PHONE # VVITH AREA CODE <br />�s`rS ld/ <br />r-Iry <br />^' I CA I ' s-- <br />APPLICANT BILLING NAME <br />APPLICANT NAILING ADDRESS <br />3471- CA".c .. O vc % <br />CITY STATE Z1P C <br />APPLICANT PNO E i W% TH AREA CODE <br />(dog 4f.2 <br />CIRCLE WORK TO BE DONE CONTRACT <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-200T) <br />$650 FEE INCLUDES FACILITY FEE + 1 TANK (2008) <br />5125 PER TANK AFTER FIRST TANK <br />2003 <br />2004 <br />2005 <br />2006 <br />TANK PENALTY ASSESSED <br />INSTALLATION PLAN CHECK <br />Plan Check and Canstrucftn Ina <br />TANK ID 0 (s) : PLAN CHECK FEE = $784 / FACILITY <br />TANK I0iI(6}; <br />TANK RETROFIT REPAIR FEE = $294 / FACILITY (use for nwnhoring equMnent, Cold Starts EVR upgrades, $ <br />W buckets w s mise <br />PIPING REPAIR FEE a $294 / FACILITY (use for Dioina. urklowdfiftrw ta+r r.,.,+mi.,...e .. , � <br />OFFICE USE ONLY <br />SWIMCE R801jEST # FACILITY 10 A1dO1JXT RECEIVED CHECK Y RECEIVED 6Y DATE RECENED <br />SR <br />EH 23 032 (REVISED I?13�AO7y <br />