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08/21/2006 15:54 4640138 ENVIRONMENTAL HEALTH PAGE 01 <br /> SAKI JOAQUU4 COUNTY <br /> ENWRONMEN[AL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3'd Fkw,Stockton,CA 95202-2 v8 <br /> Tdephone:(209)468-3420 pax(P floor):(209)465-3433 Web:www si2ov cx_ <br /> FALrFY NAME _ F AY <br /> L E <br /> JL� tr <br /> p AREA CODE <br /> F RESS _ <br /> Vw! E f OF TANKS AT 517E <br /> CITY STATE <br /> 1 CJCA <br /> APPLICANT OLLING NAME 8EMANT CONTACT NAME <br /> L G <br /> PtiOME>r CODE <br /> Lj STATE ZIP CODE CLE WORK TO BE DON£ CONTRACTOR ICC S <br /> Cpl. Ctosur6 Mst6ladon Repair ReM'oSt <br /> FACL FY <br /> 2001 2002 2043 2004 2005 2006 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK S <br /> $125 PER TANK AFTER FIRST TANK <br /> TANK PENALTY ASSESSIeD $ <br /> TANK SURCHARGE'$151 TANK $ <br /> STATE SURCHARGE FOR FAgLITtES NOT At RFADY <br /> IN A CLIPA PROGRAM X24 W FACILITY <br /> p !WENT CLOSiIRE <br /> Remoyi or Pamrittbd ckwure;n P1a $ <br /> CLOSURE FEE_5285!TANK it TANGS X$285= <br /> TANK 10 5 s <br /> TEMPORARY CLOSUfiIE <br /> n Re+Aew WW <br /> TANK ID 5(s) TEWORARY CLOSU:M7F �$2BS �FACIUT�Y �� <br /> IN ALLATiON PLAN CK $ <br /> (Plan Cfisic ancd Cansttt�1 <br /> PLAN CHEE CHECK F =$7601 FACtLtTY <br /> TANK 105(s): <br /> REPAQZ PLAN CHECK <br /> TANK <br /> D# s : $ � <br /> budc6ts.tardc .mGc. <br /> TANK RETROFIT REPAIR EEE $2851 FACK.fTY + $ <br /> ZZL <br /> PIPING REPAIR FEE =5285/F/RCILI'I'Y <br /> UM for � �' <br /> M CELLANEOUS $ <br /> TRANSFER FIS ' 1120 $ <br /> CONSULTATION FEE a $ ` HDUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $95 HOUR S <br /> SAMPLING INSPECTION FEE _ $95!"OUR p�PAS IIJLL 89 To <br /> ON <br /> ALS FEES IN" 7F+E i!5 ppURI,Y RATE.TSE T <br /> OFFICE USE ONLY AYpUNT�cEroEo t GK A RE er QA7E RECEtvW <br /> se vlcE r�EST s AaLtTr 10 <br /> SR <br /> Of 23632 0MVISED 6Trttl6a! <br />