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Jan 13 15 03:02p Elitr Tv Contractors Inc 2094616"42 <br />SAN JOAQUIN COUNTY <br />ENVTRONMF,.NTAL HEALTH DEPARTMENT <br />1868 R. Hazelton Ave., Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: Www.sjCChd.Com <br />p.5 <br />V <br />JAN 1 3 2015 <br />.11 <br />-,=NTAC <br />TANK ID #S) <br />� PLAN CHECK FEE = $90401 FACILITY <br />REPAIR PLAN CHECK <br />APPLICANT CONTACT NAME <br />TANK ID # <br />$ <br />CONSULTATION FEF. - 11301 HOUR <br />$ <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />s ill NUCkets, sumps, mist-) <br />$ <br />CITY <br />STATE <br />I ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />` %'LCbsura Insta tion Ra it Retrofit <br />ACTIVE FACILITY <br />$550 FEE INCLUDES FACILITY FEE t 1 TANK <br />2009 <br />2010 <br />2011 <br />2012 <br />2013 ' <br />2014 <br />$130 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE G $151 TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$35.= FACILITY <br />$ <br />PERMANENT CLOSURI~.- <br />(Removal or Permitted Closure in PI,aCe <br />TANK 10 #(s); -CLOSURE <br />FEE= $3901 TANK <br /># TANKS X $390 = <br />$ <br />TEMPORARY CLOSURE <br />Plan Review and Iris ections <br />TANK ID # (s) - <br />TEMPORARY CLOSURE FEE _ $3901 FACILITY <br />$ <br />TANK ID #S) <br />� PLAN CHECK FEE = $90401 FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # <br />$ <br />CONSULTATION FEF. - 11301 HOUR <br />$ <br />TANK RETROFIT REPAIR FEE - $390 1 FACILITY (use for monitoring equipment, cold starts. EVR upgrades, <br />$ <br />s ill NUCkets, sumps, mist-) <br />$ <br />PIPING REPAIR FEE = 90 i FACILITY fusr, for pipim, under-dI ,er mnt8inment, ect <br />MISCELLANEOUS <br />TRANSFER FEE - $ 25 <br />$ <br />CONSULTATION FEF. - 11301 HOUR <br />$ <br />UNAUTHOR17_F,0 RELEASE EVALUATION FEE W $ 130 /HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 1301 HOUR <br />$ <br />- --1 -'-W-- -.w.rIVV "WWI -T M1L IIW- "I" 0V t%ILLCU IU krrUI"AIV 1. <br />TOTAL, AMOUNT DUE $ <br />OFFICE USE ONLY <br />