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SAN JOAQLIIN 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.sip-ov.org/ehd <br />FACILITY NAME FACILITY CONTACT NAME <br />Waterloo Food & Fuel <br />FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br />3032 E Waterloo Rd 209 466-5816 <br />CITY fTA <br />E ZIP CODE # OF <br />Stockton 95205 <br />APPLICANT BILLING NAME <br />$ <br />HMC - Henderson Maintenance Company <br />Carl Wayne Henderson <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />PO Box 31325 <br />209 467-7573 <br />$ <br />STATE <br />I ZIP CODE <br />CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />CITY <br />Stockton <br />CA <br />95213 <br />Closure Installation Repair Retrofit <br />5252923 -UT <br />ACTIVE FACILITY <br />2004 2005 2006 2007 2008 2009 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2003-2008) <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2009) <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.00/ FACILITY <br />PERMANENT CLOSURE <br />(Removal or Permitted Closure in P <br />TANK ID # (s) : <br />(Plan Review and InspE <br />TANK ID # (s) : <br />INSTALLATION PLAN <br />TANK ID # <br />CLOSURE FEE = $315 / TANK L # TANKS X $315 = <br />TEMPORARY CLOSURE FEE = $315 / FACILITY <br />PLAN CHECK FEE = $840 / FACILITY <br />I$ <br />REPAIR PLAN CHECK <br />$ <br />TANK ID # (s) <br />$345. <br />TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />345.00 <br />spill buckets, sumps, mist. <br />CONSULTATION FEE = $ 105/ HOUR <br />$ <br />$ <br />$345. <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ect.) <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />$ <br />CONSULTATION FEE = $ 105/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 105/ HOUR <br />.,... ...cvrrccne ccFs actin WII L BE BILLED TO APPLICANT. <br />ALL PCCA ease <br />