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SAN JOAQUIN COUNTY is <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, P Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax (5f[aar): (209) 468-3433 Web: www.sj9ov.or,/ehd <br />FACILITY E <br />FACILITY CONTACT NAME <br />C...R1i�`J/Y?tc7( .574 <br />�AiY1C /_2. <br />FACILITY ADDRESS <br />SITE PHO # iMtTH A CODE <br />a.22 P� <br />ac? <br />CITY STATE <br />ZIP CODE # OF TANKS AT SITE <br />CIRCLE WORK TO BE DONE <br />/ <br />APPLICANT BILLING NAME <br />APPLICANT CONTACTNAME <br />.c ;.3 1e4 <br />Cf, 6o e,K 17 t- ` <br />APPLIC MIAIL) ADDRESS <br />APPLICANT PHONE # VATH AREA CODE <br />/00. tae k� 3 9 <br />6 36' - yOb <br />CITY STATE <br />ZIP CODE <br />CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />�GEP' <br />TEMPORARY CLOSURE FEE = $2851 FACILITY <br />Closure Installation Repair etrafi <br />S�S"Oy9«�-G!T <br />ACTIVE FACILITY <br />Removal or Permitted Closure In Place <br />TRANSFER FEE _ $ 20 <br />TANK ID # (s): <br />2001 <br />2002 <br />2003__10_04 <br />Plan Review and Inspections) <br />2005 <br />2006 <br />$600 FEE INCLUDES FACILITY FEE + 1 TANK <br />TEMPORARY CLOSURE FEE = $2851 FACILITY <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE = $151 TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM =$24.001 FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure In Place <br />TRANSFER FEE _ $ 20 <br />TANK ID # (s): <br />CLOSURE FEE = $2851 TANK <br /># TANKS X $285 <br />T6 Y CLOSURE <br />Plan Review and Inspections) <br />SAMPLING INSPECTION FEE _ $ 95/ HOUR.. SA V=vrccnQ m astn waLt_BE 19LLF_D %APPLICANT. <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $2851 FACILITY <br />REPAIR PLAN CHECK ) <br />TANK ID # S = r.._,l �� ?✓ 4,� o`a va e <br />TANK RETROFIT REPAIR FEE -$286/FACILITY use for monitoring equipTent, spit buckets, tank sumps, misc. <br />PIPING REPAIR FEE _ $285 t FACILITY use for piping, under -dispenser containment, ecl.) <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE = $ 95! HOUR - <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 95 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 95/ HOUR.. SA V=vrccnQ m astn waLt_BE 19LLF_D %APPLICANT. <br />ALL Pe&b AM DROEM vol a ne iv® nvu.0 <br />