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Feb 15 11 05:07p Reliable Petroleu 20 45-8953 p.6 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street; Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: M&.sXov or jehd <br />FACILITY NAME <br />FACtUTY CONTACT NAME <br />�,Je sor\ �a G% V�'ui'1 <br />.Amey et� e�►ro � <br />FACILITY ADD SS <br />SITE PHONE # WITH AREA CODE <br />L1'3'1 t s o V„a. <br />av q <br />CITY ISTATE <br />S �c CA <br />ZIP CODE 9 OF TANKS AT SITE <br />r-'sesk0f <br />90q gqs-SSg(.p <br />APPLICANT BILLING <br />%ie,%Fa.abl -e <br />NAME <br />APPLICANT CONTACT NAME <br />FACILITY FEE + 1 TANK (2005-2007) <br />=8 FACILITY FEE + 1 TANK (2008-2010) <br />R FIRST TANK <br />C , <br />0I& - <br />APPLICANT MA1 <br />NG ADDRESS <br />APPUCAN F PHONE 0 WITH AREA CODE <br />al R3D <br />r-'sesk0f <br />90q gqs-SSg(.p <br />CITY <br />STATE ZFP CODE <br />CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />TANK SURCHAR <br />Closure Installation Retrofit <br />S d�t� tj <br />ACTIVE FACILI <br />$500 FEE INCLUEJES <br />$550 FEE INCLUD <br />$125 PER TAMC <br />FACILITY FEE + 1 TANK (2005-2007) <br />=8 FACILITY FEE + 1 TANK (2008-2010) <br />R FIRST TANK <br />200$ <br />2006 2007 2008 <br />2009 <br />2010 <br />TANK PENALTY A <br />MESSED <br />TANK SURCHAR <br />= $15 / TANK <br />STATE SURCHAR <br />3E FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM =$413.00! FACILITY <br />PERMANENT CLC SURE <br />Removal or Perini ed Closure is Place <br />TANK ID # s : CLOSURE FEE = $8661 TANK # TANKS X $366 <br />TEMPORARYCLOSURE <br />Plan Review and Ir spections) <br />TANK ID # (s): TEMPORARY CLOSURE FEE = $3661 FACILITY <br />