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ty <br /> PUBLIC. EALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> X <br /> ETMRONMENTAL HEALTH DIVISION 0 i <br /> B aren Furst, M.D., M.P.H., Health Officer <br /> 304 East Weber Avenue, Third Floor - Stockton, CA 95202 <br /> 209/468-3420 <br /> NOTICE <br /> To: Small Juantity Hazardous Waste Generator Facilities 0 t2000 <br /> From Environmental I lealth Division <br /> Date: May 2 5, 1999 <br /> Re: llazardous Waste Generator Program and State Facility Surcharge Fees <br /> On June 25, 1998, he Board of Supervisors adopted a revised Hazardous Generator Fee <br /> Schedule and establis led a new fee category for Small Ilazardous Waste Generator facilities <br /> (generating le" than five toils per year). The enclosed billing statement includes the 1999 Small <br /> Hazardous Waste 111c rmit fee of$100. <br /> As the Certified Unified Program Agency (CUPA) for San Joaquin County, the Environmental <br /> Health Division (El-lD) is also I-C(ILIII-ed to collect a state facility surcharge fee for each facility <br /> regulated under the 111.mardotis Material Release Response Plans, Ilazardous Material <br /> Management Plans, California Accidental Relcase Prevention Program (Cal-ARP), <br /> Ilazardous Waste Generator Program, Tiered Permitting Program or Underground <br /> Storage Tank (UST) Programs. If our records indicate that YOLII- facility was not, previously <br /> billed for the state facility surcharge of $18.50 for 1998 and/or $10.00 for 1999, these charges <br /> are included on this billing statement. <br /> If used oil is tile only hazardous waste generated by your facility, you may 4c eligible for a 50% <br /> reduction in the Sinai I-lazardous Waste Generator Permit Fee next year. Please complete the <br /> "Used Oil Only" statement on the bottom of this letter and return It with your payment. An <br /> inspection will be performed to verify regulatory compliance and confirm that you are a "Used <br /> Oil Only" small hazat-Jous waste generator. <br /> If you have any questions or require further information, please contact Doug Wilson, <br /> Ilazardous Waste Program Supervisor, at 468 3446. <br /> ----------------------------------------------------------------------------------------------------------------- <br /> USED OIL ONLY <br /> Facility Name: Z--f d— /A-1 Cli <br /> Facility Street Address: 4-13 '411-1 S. — I, -.4,5ec— <br /> City: -/, <br /> Coo itact Person: <br /> 1 certif <br /> y that the only hazardous waste generated by the above referenced Facility is USEI) <br /> 011, and that the total amount leiieratedZper ear is less than 5 tons. <br /> Signed: <br /> L7-- <br /> A Division of San Joaquin County Health Care Services <br />