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SAN JOAQUIN COUNTY /1/) <br />ENVIRONMENTAL HEALTH DEPARTM' <br />600 East Main Street, Stockton, CA 95202-- 9 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433- Web: wwM.sj oov.or /g ehd <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />APPLICANT MAILING ADDRESS <br />I APPLICANT PHONE # WITH AREA CODE <br />25in <br />lip1 <br />CITY <br />STATE <br />ZIP CODE <br />"• <br />CIRCLE WORK TO B DONE CONTRACTOR ICC # <br />" <br />Closure Installation Repair Retrofit <br />ACTIVE FACILITY <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2006-2007) 2006 2007 2008 2009 2010 201 <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008-2011) . <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 =!Ra4 nn/ Peru my <br />