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02/20/2005 WBZ� 15: '.:5 FAX 663433 SJC EHD --- Co <br /> SAN JOAQU IN COL,NTY <br /> lil;ViRQi'0,Ir,NTAf..Hi�AL.Th DVI'ARTMENT <br /> 600 1­.uj%j:,jjj Street,Stockton,CA 95202-3029 <br /> Telephane:(.109)408-3420 Fux.,(M))468-3433 Pleb:www,sjgq}�.Qrg/,Pbo <br /> i-FANE-ITY-NAME FACILITY CONTACT NAME <br /> PHONE#WITH AREA CODE <br /> TANKS AT SITE <br /> (,A <br /> PLI <br /> N Atli)E APPLICANT CONTACT NAME <br /> M 1ad"-ME <br /> APPJCANT'AAH_M'3 AM)RESS APPLICANT PHONE#WITH AREA CODE <br /> CITV STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC 9 <br /> c:,osure !nsla[l.tion Repair <br /> 2003 2004 2005 i 2006 2007 200 <br /> rE_F.IN:­Li_jD'_'>FAGi,iTY FEE 1 TANK(2002-20011 <br /> $:5U FEE:NCLUDE3 FACILITY FEE I TANK(2008) <br /> ;125 PFR TANK AFTER Fir6TTANK <br /> AC.! iTIFS NOT Al.RF 0,0Y ON INVLN'P ORY IN A CUPA PROGRAM=524.00/FACILITY <br /> E fli4;%NL&I C-OSURL <br /> or':"_'fkTlit;vd Uo_.,ie in PILA(;eL__ <br /> TAN,<dLl 9 1! CLOSURE FEE=S2941 TANK g,rANKS X$294 <br /> T-A."-lk L TEMPORARY CLOSURE FEE--$294 1 FACILITY <br /> INSTAL A <br /> PLAIN ;,HECK FEE $784 J FACILITY <br /> Rt PAIR PLAN CHECK <br /> EE 5294!FACILITY (use for monitoring equipmefil.,culd 'dafls;,EVR upgrades. <br /> Sp el sum <br /> .`,2',) r FACILITY <br /> _J'usL fwpipmg,under-dispenser containment,6ft) <br /> --,Bl HOUR <br /> EVALUA[ION FEE $06/HOUR <br /> 961 HOUR <br /> ALL FEES ARE UASED ON [H2$98 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT, <br /> OFFICE USE ONLY <br /> -c F:,Z:!LlTflD AMOUNT RLCCIVrO "ECENEG <br />