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SAN JOAQUIN COUNTY RECEIVED <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205-6232 DEC 09 2015 <br /> Telephone:(209)468-3420 Far:(209)468-3433 Web:wwwAcelid.com <br /> FACILITY NAME FACILITY CONTACT NAME EN ENTAL <br /> n�D oT�er_nIT <br /> E.F. Kludt&Sons, Peroleum Steve Kludt NFCI-ru <br /> FACILITY ADDRESS SITE PHONE#WITH AREACODE <br /> 1126 E. Pine St 461-6337 <br /> CITY STATE LP CODE ONATE <br /> Lodi CA 95240 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Elite IV Contractors Kim White <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 2535 Wigwam Dr. 20 461-6337 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Closure limtallafion Repair Retrofit <br /> ACTIVE FACILITY <br /> 2009 2010 2011 2012 2013 2014 <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK <br /> $130 PER TANK AFTER FIRST TANK $ <br /> $ <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE=$15/TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$35.001 FACILITY <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place)$ <br /> TANKID# s : CLOSURE FEE=$390/TANK ItTANKSX$390= <br /> TEMPORARY CLOSURE <br /> Plan Review and Ins elms $ <br /> TANK ID#(s): TEMPORARY CLOSURE FEE=$390/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections $ <br /> TANK ID#(s)'. PLAN CHECK FEE_$10401 FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(a): <br /> $ <br /> TANK RETROFIT REPAIR FEE =$390/FACILITY (use for monitoring equipmem,cold starts,EVR upgrades, 390.00 <br /> s ill buckets,In.misc. <br /> PIPING REPAIR FEE=$390/FACILITY use for piping.under-dis nser containment.wt. <br /> MISCELLANEOUS <br /> $ <br /> TRANSFER FEE = $25 <br /> $ <br /> CONSULTATION FEE = $130/HOUR <br /> $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $1301 HOUR <br /> $ <br /> SAMPLING INSPECTION FEE _ $1301 HOUR <br /> FEES ARE BASED ON THE$170 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $ 390.0 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECENED CHECK# RECEIVED BY DATE RECEIVED <br /> EH 23 032(REVISED 05-04.14) <br />