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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.siPoV.or'z/e <br /> FACILITY NAME . FACILITY CONTACT NAME <br /> Levand-Bright Property William Little <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 3 East Eleventh Street 209 467-1006 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> Tracy CA 95376 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Louis Levand Trust Et. al. C/O Paula Levand <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 24692 Sand Wedge Lane (6C902133 <br /> CITY S ATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Closure Installation Rit RetrofR <br /> ACTIVE FACILITY <br /> 2007 2008 2009 2010 2011 2012 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2007-2008) <br /> $550 FEE INCLUDES FACILITY FEE+i TANK(2009-2012) One $ <br /> $125 PER TANK AFTER FIRST TANK <br /> TANK PENALTY ASSESSED <br /> TANK SURCHARGE=$15/TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$49.00/FACILITY <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID# s : CLOSURE FEE=$375/TANK #TANKS X$375= <br /> TEMPORARY CLOSURE <br /> (Plan Review and Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE=$3751 FACILITY <br /> INSTALLATION PLAN CHECK <br /> (Plan Check and Construction Inspections) <br /> TANK ID#(s): I PLAN CHECK FEE=$1000/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(a): <br /> $ <br /> TANK RETROFIT REPAIR FEE =$375/FACILITY (usefor monitoris,ng equipment,cold starts,EVR upgrades, <br /> ill buckets,sum misc. <br /> PIPING REPAIR FEE _$375/FACILITY use for piping,under-dispenser containment,ect. <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $25 <br /> CONSULTATION FEE _ $125/HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $125/HOUR $ <br /> SAMPLING INSPECTION FEE _ $125/HOUR <br /> ALL FEES ARE BASED ON THE§125 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT, <br /> TOTAL AMOUNT DUE $ 550 <br /> OFFICE USE ONLY <br /> SERMCE REQUEST# FACILITY ID AMOUNTRECEIVED I CHECK# RECEIVED BY DATE RECEIVED <br /> EH 23 032(REVISED 04/13/12 by KF) <br />