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PUBLIC FYEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION w :< <br /> Karen Furst, M.D., M.P.H., Health Officer <br /> 304 East Weber Avenue, Third Floor• Stockton, CA 95202 <br /> 209/468-3420 <br /> NOTICE <br /> To: Small Quantity Hazardous Waste Generator Facilities <br /> From: Environmental Health Division <br /> Date: May 25, 1999 <br /> Re: Hazardous Waste Generator Program and State Facility Surcharge Fees <br /> On June 25, 1998, the Board of Supervisors adopted a revised Hazardous Generator Fee <br /> Schedule and established a new fee category for Small Hazardous Waste Generator facilities <br /> (generating less than five tons per year). The enclosed billing statement includes the 1999 Small <br /> Hazardous Waste Permit fee of$100. <br /> As the Certified Unified Program Agency (CUPA) for San Joaquin County, the Environmental <br /> Health Division (EHD) is also required to collect a state facility surcharee fee for each facility <br /> regulated under the Hazardous Material Release Response Plans, Hazardous Material <br /> Management Plans, California Accidental Release Prevention Program (Cal-ARP), <br /> Hazardous Waste Generator Program, Tiered Permitting Program or Underground <br /> Storage Tank (UST) Programs. If our records indicate that your facility was not previously <br /> billed for the state facility surcharge of $18.50 for 1998 and/or $10.00 for 1999, these charges <br /> are included on this billing statement. <br /> If used oil is the only hazardous waste generated by your facility, you may be eligible for a 50% <br /> reduction in the Small Hazardous Waste Generator Permit Fee next year. Please complete the <br /> "Used Oil Only" statement on the bottom of this letter and return it with your payment. An <br /> inspection will be performed to verify regulatory compliance and confirm that you are a "Used <br /> Oil Only" small hazardous waste generator. <br /> If you have any questions or require further information, please contact Doug Wilson, <br /> Hazardous Waste Program Supervisor, at 468-3446. <br /> --------------------------- ' --------------------------t2=3t.......a <br /> USED OIL ONLY <br /> Facility Name: Leo dcy I S <br /> Facility Street Address: �2 City: <br /> Contact <br /> M <br /> Contact Person:C` _$Z2 — L Phone: NOn �— <br /> I certify that the only hazardous waste generated by the above referenced Facility is USED <br /> OIL and that the total amount generated <br /> yer year is less than 5 tons. <br /> Signed: <br /> A Division of San Joaquin County Health Care Services <br />