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0 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALT1i DEPAICI-MENT MAY 14 2 015 <br /> 38581;.f fazelton Ave.,Stock-tom CA 95205-0232 <br /> Telephone:(209)468-34220 Fwc:(209)468-3433 ff,eh:�NAyAy,§jcehd.qqrn <br /> 2'"fluf"'k <br /> FACILITY NAME FACILITY CONTACT NAME WENTA! <br /> Flames Liquiors Rupie <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 1301 Kettleman Lane ( 209 ) 334-3233 <br /> LC I--Ty I STATE ZIP CODE #OF TANK' AT SITE <br /> Lodi CA 95240 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Elite IV Contractors Kim White <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 2535 Wigwam Dr. ( 213 461-6337 <br /> CITY STATE ZIP CODE CIRCLE`CORK TO BE DONE :I CONTRACTOR[cc# <br /> Stockton— I Closure Installation Repair Retrofft <br /> ACTIVE FACILITY <br /> 2005 2010 2011 12012 2013 2014 <br /> $550 FEE INCLUDES FACILITY FEE+I TANK <br /> $130 PER TANK AFTER FIRST TANK <br /> $ <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE_$15/TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$35.001 FACILITY <br /> PERMANENT CLOSURE <br /> (Removal or Permitted Closure in Place) <br /> TANK ID#(s): CLOSURE FEE=$30-0 i TANK I #TANKS X$390 <br /> TEMPORARY CLOSURE <br /> (Plan Review and Impectionsl $ <br /> TANK ID#(s): I-TEMPORARY CLOSURE FEE=$3901 FACILITY <br /> INSTALLATION PLAN CHECK <br /> (Plan Check and Construction Inspectiom) <br /> TANK ID#(s): PLAN CHECK PEE=$10401 FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> TANK RETROFIT REPAIR FEE =$390 1 FACILITY (use for rnonitodng equipment,cold starts.EVR upgrades, <br /> 390.00 <br /> so: <br /> M buckets,sum-Rl <br /> PIPING REPAIR FEE=$390/FACILI TY (Lie for ;ping,under-dispenser containment,ect.) <br /> MISCELLANEOUS <br /> TRANSFER FEE = $25 <br /> CONSULTATION FEE = $1301 HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $130fHOUR $ <br /> SAMPLING INSPECTION FEE 130/HOUR <br /> FEES ARE BASED ON THE$130 HOURLY RATE. TIRE THAT EXCEEDS FEES PAID WILL&E BILLED TO APPLICANT. <br /> Ci7T�i R9 I NT DUE Is I <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID 1 AMOUNT RECEIVED CHECK# I RECEIVED BY DATE RECEIVED <br /> EN 23 032(REVISED 0"4-14) <br /> ............... <br />