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NAN JOAQUIN COUNTY <br />ENVIRONML'NTAL HEALTIi DEPARTMEN'* <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />Hondo Company <br />Bob Lee <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />6426 E Haight Road <br />209 369-8255 <br />CITY STATE <br />ZIP CODE <br /># OF TANKS AT SITE <br />Lodi CA <br />95240 <br />2 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Neil O. Anderson and Associates, Inc. <br />James Robinson <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />902 Industrial Way <br />209 367-3701 <br />CITY STATE I ZIP CODE <br />CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />Lodi Ca 95240 <br />[ osvo Installation Repair Retrofit <br />ACTIVE FACILITY <br />TANK ID # s <br />CLOSURE FEE = $294 / TANK <br />2003 <br />2004 <br />2005 <br />2006 <br />2007 <br />2008 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) <br />PIPING REPAIR FEE = $294 1 FACILITY (use for piping, under -dispenser containment, ect.) <br />SAMPLING INSPECTION FEE _ $ 981 HOUR <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008) <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE = $151 TANK _ <br />is <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM =$24.001 FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # s <br />CLOSURE FEE = $294 / TANK <br /># TANKS X $294 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $294 1 FACILITY <br />NSTALLATION PLAN CHECK <br />Plan Check and Construction Ir <br />TANK ID # (s) : I PLAN CHECK FEE = $784 1 FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />TRANSFER FEE $ 20 <br />TANK RETROFIT REPAIR FEE = $294 1 FACILITY (use for monitoring equipment, cold starts. EVR upgrades, <br />spill buckets, sum s, misc. <br />PIPING REPAIR FEE = $294 1 FACILITY (use for piping, under -dispenser containment, ect.) <br />MISCELLANEOUS <br />TRANSFER FEE $ 20 <br />CONSULTATION FEE _ $ 981 HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 981 HOUR <br />SAMPLING INSPECTION FEE _ $ 981 HOUR <br />ALL FEES ARE BASED ON THE $98 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 RECEIVED <br />SR <br />