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r✓ I <br />� 1775-�dd - W P <br />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.sigov.org/ehd <br />FACILITY <br />2006 2007 2008 2009 2010 2011 <br />k <br />0 FEE INCLUDES FACILITY FEE + 1 TANK (2000x2007)0 FEE INCLUDES FACILITY FEE + 1 TANK (2008-2011) PER TANK AFTER FIRST TANK $ <br />K 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) : <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 />CLOSURE FEE = $375 / TANK I # TANKS X $375 = <br />TEMPORARY CLOSURE FEE = $375 / FACILITY <br />PLAN CHECK FEE = $1,000 / FACILITY <br />$ <br />$ <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 25 <br />$ <br />CONSULTATION FEE = $ 125/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 125 / HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 125/ HOUR <br />$ <br />ALL I-r=b AKt CAbLU UN i Ht ,%IZS HUUKLY KAI t. i IML THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />TOTAL AMOUNT DUE $ <br />OFFICE USE ONLY <br />SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED <br />EH 23 032 (REVISED 08/101 by KF) <br />