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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`" Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax (50fi+or): (209) 468-3433 Web: www.sieov.org/ehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />YCL.L400 FE -r. -144y <br />zicoN4a b smgg <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />2003 <br />APPLICANT PHONE # WITH AREA CODE <br />CITY STATE <br />ZIP CODE I # OF TANKS AT SITE <br />P—A c,'l cA <br />QS 34 (a 8 <br />APPLICANT BALLING NAME <br />TANK ID # s <br />APPLICANT CONTACT NAME <br />5N)9A.M4 6AVr4A2-AMW'1'4L Cp2'P <br />SQO CP0eLl <br />APPLICANT MAILING ADDRESS <br />2003 <br />APPLICANT PHONE # WITH AREA CODE <br />S,Ga-Jw.i a \iAHCo <br />. GOFn <br />list 52M -Sfi-D <br />CITY <br />STATE <br />I LP CODE <br />CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />f, rkr,WL U)d#QMD/46A <br />CA <br />1011-. 3U <br />Closure Installation (Repair)Retrofit <br />ACTIVE FACILITY <br />TANK ID # s <br />CLOSURE FEE $2791 TANK <br />2000 <br />2001 <br />2002 <br />2003 <br />2004 <br />2005 <br />$500 FEE INCLUDES FACILITY FEE +1 TANK <br />UNAUTHORIZED RELEASE EVALUATION FEE = S 93 /HOUR <br />SAMPLING INSPECTION FEE = S 931 HOUR <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE =$15/TANK <br />IS <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM =$24.00/ FACILITY <br />PERMANENTCLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # s <br />CLOSURE FEE $2791 TANK <br />r # TANKS X $279 = <br />TEMPORARYCLOSURE <br />Plan Review omd Ina actions <br />TANK ID # (s): <br />TEMPORARY CLOSURE FEE = $2791 FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # s <br />TANK RETROFIT REPAIR FEE = $2791 FACILITY use for monitorin a ui ent s ill buckets. lane sum s. misc. <br />$ <br />PIPING REPAIR FEE _ $279 / FACILITY (use for oioin9, untler-tliS neer containment, ecL <br />MISCELLANE'AUS <br />TRANSFER FEE _ $20 <br />CONSULTATION FEE _ $ 931 HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE = S 93 /HOUR <br />SAMPLING INSPECTION FEE = S 931 HOUR <br />ALL FEES ARE SASEU ON TME 593 MOOPMY NATE. 7MR FMAi G V KWZ rcra rwU rnLL os 0166=U i. ru-rL1YAry I. <br />90/90 39Cd H1N3WNONIAN3 A3-laIHS OTTL9Lb606 bb:TT 90OZ/TZ/L0 <br />