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SAN JOAQUIN COUNTY <br /> ENviRoNmENTAL HEALTH DEPARTMENT <br /> 600 East kAain Street,Stockton,CA 95202-3029 <br /> Tdepkamer(209)468-3420 F •(209) 3433Web.- ov,org/ehd <br /> FACILITY NAME FACILITY T NAME <br /> SJC Sheriff's Fueling Operations Fred Kuntz <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 7000 Michael Canlis Rd- 209 468-4645 <br /> CITY I STATE 23P CODE #OF TANKS AT SITE <br /> French Camp CA 95231 TWO <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Bagigy Enter rises Inc. Joseph Bagley <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#NTH AREA CODE <br /> 2370 MASLio Circle, Unit 4 g09 ) 367-4WO <br /> CITY STATE I ZIP CODE CIRCLE WORK TO BE DONE CONTRACTORICC# <br /> Lodi CA 5240 Closure hstalletion Repair Retrofit <br /> ACTIVE FACILITY <br /> 2003 2004 2005 2006 2007 2008 <br /> FEE INCLUDES FACILITY FEE+1 TANK(2002-2007) <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK( $ <br /> $125 PER TANK AFTER FIRST TANK <br /> $ <br /> TANK PENALTY ASSESSED <br /> $ <br /> TANK SURCHARGE=$15 J TANK <br /> $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.00f FACILITY <br /> PERMANENT—CLOSURE <br /> Removal or Perrrfdted Cbsure in <br /> TANK ID# s CLOSURE FEE=$3151 TANK L #TANKS X$315= <br /> TEMPO Y CLOSURE <br /> Ptan Review and Inspections <br /> $ <br /> TANK ID#(a): TEMPORARY CLOSURE FEE=$3151 FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction 1 rIs <br /> TANK ID (s): PLAN CHECK FEE= 01 FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> TANK RETROFIT REPAIR FEE =$3151 FACILITY (use for monitoring egtapment,gold starts.EVR upgrades, <br /> m . s� <br /> PIPING REPAIR FEE _$3151 FACILITY (use for pMM under-dispwserect <br /> MISCELLANEOUS <br /> $ <br /> TRANSFER FEE _ $20 <br /> $ <br /> CONSULTATION FEE _ $1051 HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $1051 HOUR <br /> $ <br /> SAMPLING INSPECTION FEE = $1051 HOUR <br /> BoALL ARE BA ON THE$1 HOURLY RATE T EX UCANT APP <br /> OFFICE USE ONLY <br /> SERVICE REQUEST 9 FACILITY ID AMOUNT RECEIVED I UHlECKS KEGEIVED BY DATE <br /> RECElVEDSR J <br /> EH 23 032(REWSED 711 808) <br />