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f <br /> SAN JOAQUIN COUNTY ak <br /> ENVIRONMENTAL HEALTH DEPARTNI ,. <br /> 304 East Weber Avenue,3rd Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax ff h,floor):(209)468-3433 Web:wwW.sj ov.or ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> k on Sho Geor e Takemori <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 120 Frank West Circle <br /> CITY209 ) 982-4050 <br /> STATE ZIP CODE #OF TANKS AT SITE <br /> Stockton CA 95206 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> hent & Son Inc. Geor e Takemori <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> P.O. Box 15002916 386-3716 <br /> CITY STATE ZIP CODE dlosu <br /> LE WORK TO BE DONE CONTRACTOR ICC# <br /> Sacramento CA 95851 Installation Repair etfo <br /> ACTIVE FACILITY <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK 2002 2003 2004 2005 2006 2007 <br /> $125 PER TANK AFTER FIRST TANK <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE=$15/TANK $ <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 Pipe Only <br /> TANK ID# s _$285/TANK #TANK�X$285= $ 2 8 5 <br /> TEMPORARY CLOSURE CLOSURE FEE <br /> Plan Review and Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$285/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s): PLAN CHECK FEE_$760/FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> TANK RETROFIT REPAIR FEE =$285/FACILITY use for monitoring equipment,s ill buckets,tank sumps,misc. $ <br /> PIPING REPAIR FEE =$285/FACILITY use for i in ,under dis nser containment,ect. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 $ <br /> CONSULTATION FEE = $95/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $95/HOUR $ <br /> SAMPLING INSPECTION FEE _ $95/HOUR <br /> �=�$A LL FEES ARE BASED ON THE X95 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> EVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIVED <br /> EH 23 032(REVISED 01/29/071) <br />