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10/09/2006 15:30 7074466192 TANK-TEK PAGE 04 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3'd Floor, Stockton, CA 95202-2708 <br />Telephone. (209) 468-3420 Fax (50 floor): (209) 468-3433 Web: wwwaigov,om/ehd <br />F ILITY NAM <br />CILETY CONTACT NAME <br />APPLICANT MAILING ADDRESS <br />AP t;' EA COD <br />N1 <br />U <br />FACILITY ADDRESS <br />SPIE ONE # WITH AREA CODE <br />�� <br />2 <br />/�-2A- <br />Am <br />VoLm"M9vtol�"7 <br />CITY <br />I STATE ZIP CODE # OF TANKS AT SITE <br />LrhQJ�A 010A <br />CA 21 <br />APPLICANT 81LLING NAME <br />AFRLICANT CONTACT NAME <br />APPLICANT MAILING ADDRESS <br />AP t;' EA COD <br />N1 <br />wl Lim �i]177 --P-8 <br />M <br />(P�L)I']� 'P,H{tO�N/JE �/� /��} <br />CITY STATE <br />ZIP CODE <br />CIRCLE" WORK TO 6E DONE CONTRACTOR IGC # <br />VoLm"M9vtol�"7 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK <br />Closure Instalfalion ®palr Retrofh 115 ZLI g W-1-- UT <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $2851 TANK <br />2001 <br />2002 <br />2003 <br />2004 <br />2005 <br />2006 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 95 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 951 HOUR <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE - $151 TANK <br />$ <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 Place <br />TANK ID # (s): <br />CLOSURE FEE = $2851 TANK <br /># TANKS X 285 m <br />TEMPORARY CLOSURE <br />Plan Revlew and Ins ions <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $285 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s): <br />$ <br />TANK RETROFIT REPAIR FEE _ $2851 FACILITY uee for monitoring a ui rant, a ill buckets, tank sums mist. <br />$ <br />PIPING REPAIR FEE _ ;2861 FACILITY use for plping,undar-dis ser oontalnm®nt, aot. <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE $ 20 <br />$ <br />CONSULTATION FEE _ $ 951 HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 95 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 951 HOUR <br />ALL PEES ARE BASED ON 1 PIC wS t9VUKL T RAi t - TiME THAI !mXV;mCU75 FEES PAID WILL QE BILLED TO APPLICANT, <br />