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SAN JOAQUIN COUNTY �1 <br />ENVIRONMENTAL HEALTH DEPARTM- LJ l <br />600 East Main Street; Stockton, CA 95202-- �9 <br />- - -.- - - ---Telephone: (209) 46x8=3420 -Fax: -`(209) 468-343Y Web: <br />FACILITY NAME FACILITY CONTACT NAME <br />- FACILITY ADDRESS"CAGJI� <br />NE # WI H AREA CODE <br />CITY 1 --.STATE- "6 <br />OF TANKS AT SITE <br />_. <br />_._... .__._ ...__. APPLICANT BILLING NAME <br />_ _ <br />APPLICANT CONTACT NAME <br />RAPPLICANT <br />ACTIVE FACILITY <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2006-2007) <br />2006 <br />2007 <br />2008 <br />MAILING ADDRESS <br />APPLICANT PHOAREA CODE�.5CITY <br />2011 <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2006-2011) . <br />ZIP_COOE <br />CIRCLE WORONE - CONTRATOR ICC #Closure-lnstallatloRetrofit <br />ACTIVE FACILITY <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2006-2007) <br />2006 <br />2007 <br />2008 <br />2009 <br />2010 <br />2011 <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2006-2011) . <br />$ <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE = $15 / TANK <br />STATE SURCHARGE FOR FACILITIES NOT A <br />-PERMANENT CLOSURE <br />_(Removal or Permitted Closure in Place) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE <br />(Plan Review and Inspections) <br />TANK ID # (s) : <br />INSTALLATION PLAN CHECK <br />(Plan Check and Construction Inspections) <br />TANK ID # (s) : <br />E $375 / TANK #TANKS X $375 = <br />CLOSURE FEE _ $375 / FACILITY <br />I CHECK FEE = $1;000 / FACILITY <br />