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E <br />Ll <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />Telephone. (209) 468-3420 Fax: (209) 468-3433 Web: M3MLSj%tov.org/ehd <br />I FjOLCILITY—N—AME <br />ErT.31111WAOT-17k <br />TRANSFER FEE $25 <br />$ <br />Ouik Stophie <br />Veronica <br />FACILITY ADDRES <br />Mark -ovich <br />&J"id LIP] CI�Lij'kj <br />P.O. Box 1025 <br />$ <br />I <br />1030 S. CUlive-Ave. <br />209 948-6731 <br />Closure lnstallsfion�e it Retrofit I— <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />TRANSFER FEE $25 <br />$ <br />Walton Enqineerinq, Inc-. <br />Veronica <br />APPLICANT MAILING ADDRESS <br />Freitas <br />APPLICANT PHONE # WITH AREA CODE <br />P.O. Box 1025 <br />$ <br />I <br />CITY -STATE <br />CIRCLE WORK TO ,DONE CONTRACTOR ICC <br />Closure lnstallsfion�e it Retrofit I— <br />$500 FEE INCLUDES FACILITY FEE + I TANK (2007-2008) 2008 2009 1 2010 2011 2012 20 <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2009-2012) -- — <br />$125 PER TANK AFTER FIRST TANK I i . ...... <br />ITANK RETROFIT REPAIR FEE = $375 / FACILITY (use for monitoring equipment cold starts, EVR upgrades, 40 <br />--III buckets, sumos. misc.) 1 375 <br />15 <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 />ALL FEES ARE BASED ON THE $125 HOURLY RATE TIME THAT EXCEEnce— <br />$ <br />I <br />rPUW WILL BE BILLED TO APPLICANT. <br />JOTAL AMOUNT DUE <br />OFFICE USE ONLY <br />SERVICE REQUEST # FACILITY ID AMOUNT REGEIYED CHECK # RECEIVED BY -1 DATE RECEIVED <br />L IEH 23 032 (REVISED 1/1812@13 by joq) <br />