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04-03-2001 08:40PM FROM TO 3ES1951 P.01 <br /> UNDERGR Nb STORAGE TANK PROGRAM 1L HEALTH O; <br /> u 4�WORKSHEETET <br /> N31OS. <br /> ACILm AM <br /> FACILITY CONTACT NAME <br /> of Ron Palmquist <br /> IUTY ADD ESS <br /> ITE PHONE M WITH AREA C DE <br /> merican St . N/ASTATE PCODE, CA OF ARKS AT SITE <br /> CA 95203 1 <br /> APPLICANT IWNG NAME APPLICANT CONTACT NAME <br /> The City of Stockton RDA I Ron Palmquist <br /> APPLICANT YAILIN AD RESS APPLICANT PHONE M WITH AREA CODE <br /> 305 N, E1 Dorado St . _ 209 937-8320 <br /> CITY STA, ZIP CODE <br /> X CIRCLE WORK TO EE DONE: <br /> Stockton, _ CA 95202 <br /> Closure Irytailatio� Repan RetrOb; <br /> ACTIVE FACIU <br /> $500 FEE INCLUDES FACILITY FEE+ 1 TANKI R»°)x(s taN,886 0!1989 2000 2001 <br /> $125 PER TANK AFTER FIRST TANK �°an°vWusstc) <br /> $ <br /> TANK PENALTY ASSESSED $ <br /> TANKSURCHARGEa !TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON IPIVENTCRV fN.4 CUPA PROGRAM o 51p i FACILITY $ <br /> PERMA 11i URE <br /> rRsm°val or PstrrRI 6 Closure In Ptace <br /> TANK ID M s CLOSURE FEE a$261!TANK xTAMKS X$361 - $ <br /> TEMP RARY CL SURE <br /> Plan Review and I 'one <br /> TANK ID M(s TE:V1PORgRY CLOSURE FEE_$281 1 FACILITY $ <br /> INSTALLA N HECK <br /> Plan Cheek and COnsitVdyen Ins acL'ons <br /> TANK ID M(s): PLAN CHECX FEE a$6961 FACILITY $ <br /> REPAIR L,PI!CHE K <br /> TANK IDM c : <br /> TANK LINING REPAuR FEE n$281/TANK 41TANKS X$261 a $ <br /> TANK RETROFIT REPAIR FEE a$281 /FACILITY � <br /> PIPING REPAIR FEE =S2611 FACILITY I $ <br /> Nt CE us <br /> TRANSF R FEE a $20 $ <br /> CONSU TA17ON FRF 7!HCUR $ i <br /> UNAUTF!ORIZEO RELEASEE EVALUATION FEE a s 871 HCUR $ <br /> SAMPLING INSPECTION FEE a S 571 HOUR $ <br /> ALL r $ 8 ON TH 7 KOURLY RA e. T ETNA UCEEDS FESS P 'O WILL SE BILLS TO APPLICANT. <br /> OFFICE USE ONLY <br /> dERVICB REOUCSTM FACIL:T/IDI AMOUNTRECENSD NECKa RCCEIVCDBDATA RECEIVED <br /> SR <br /> It"23 V)I fRSVI <�q <br /> TOTAL P.01 <br />