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Aug 25 08 09:17a Reliable Petroleum 209-845-8953 p.7 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART TENT <br />600 East Main Street, Stockton, CA 9202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.orgiehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />APPLICANT CONTACT NAME <br />2003 <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />LIL1 ii Nle :n>SeAcxd e— Poj <br />erj ql g3 Ll — !;-5 CO <br />CITY STATE <br />ZIP CODE # OF TANKS AT1 SITE <br />A-� w -o CA <br />`;53 3�j <br />APPLICANT BILLING NAME <br />TANK ID # (s): <br />APPLICANT CONTACT NAME <br />2003 <br />2004 <br />a o be'rF a y- kq q 0' <br />APPLICANT MAILING ADDRESS <br />2007 <br />APPLICANT PHONE # WITH AREA CODE <br />I L ran " t Ca I YOO <br />J?�>r <br />% Fv s- x ems' <br />CITY -% <br />STATE <br />I ZIP CODE <br />CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />CC KCtq �..0 <br />C: <br />�s? 47 <br />Closure Installation Repair Retrofit <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $3151 TANK <br />2003 <br />2004 <br />2005 <br />2006 <br />2007 <br />2008E <br />5500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 1051 HOUR <br />1 <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008) <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $151 TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.001 FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): <br />CLOSURE FEE = $3151 TANK <br /># TANKS X $315 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $3151 FACILITY <br />INSTALLATION PLAN CHECK <br />(Plan Check and Construction Er <br />TANK I D # (s) : I PLAN CHECK FEE = $8401 FACILITY <br />REPAIR PLAN CHECK <br />TANK I D # (s) : <br />TANK RETROFIT REPAIR FEE =$315 FACILITY (use for monitoring equipment,CCold starts EVR upgrades, <br />spill buckets, sumps, mise. <br />$ S <br />-'J <br />PIPING REPAIR FEE = $3151 FACILITY (use for piping, under -disperser containment. ect. <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE _ $ 1051 HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 1051 HOUR <br />SAMPLING INSPECTION FEE _ $ 1051 HOUR <br />ALL FEES ARE BASED ON THE $98 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE SILLED TO APF <br />OFFICE USE ONLY <br />