Laserfiche WebLink
Jul V 10 11:56a Reliable Petrole 20 5-8953 p.2 <br />SAINT JOAQiU1v COt INTY <br />ENVJRONIMFNTAL HEAum DEPARTAENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telaphorre: (209) :6$-34420 Fa (209) 466-3433 bleb: rvtivw,��o�:gr�lehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />WATEV-LOQ �U0-D A�LAEL <br />PaL&L SivtO h <br />FACILITY ADDRESS <br />SITE PHONE;P WITH AREA CODE <br />E.LA_)a=r V,>`v� <br />ZIP CODE <br />CITY 1 STATE <br />ZIP CODE # OF TANKS AT SIfE <br />sto CA <br />9 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAM <br />11 � Ph, 3r,(VI �s Ty)c <br />APPUCANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />Zt �YG�vtdia _s-ra>^ -• <br />09 Vs- -r'S fC� <br />CITY STATE <br />ZIP CODE <br />CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />U lli(- JFK C - A— <br />l lk' J <br />Closure Instaliation Repair Retrofit sa.j L 9S� <br />5 200 <br />$500 FEE INCLUDES FACILITY FEE + i TANK (2004-2007) 200 6 2007 2008 1 2009 <br />S550 FEE INCLUDES FACILITY FEE + 1 TANK { <br />S125 PER TANK AFTER FIRST TANK <br />I <br />TANK PENALTY ASSESSES] I <br />F <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place' <br />i <br />TANK ID # s): CLOSURE FEE= $3451 TANK # TANKS X $345 = <br />TEMPORARY CLOSURE <br />(Pian Review and Inspections) <br />TANK Io # (s}: TEMPORARY CLOSURE FEE= $345 ! FACILITY <br />IPISTALLATION PLAN CHECK <br />TANK ID #{S} : PLAN CHECK_ FEE = $920 ! FACILITY <br />N <br />0 <br />