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X3.13, S i t'Eru :;tockton Dery Sta Eq C0 <br />007/QC <br />SAN JOAQUIN COUNTY <br />HFALTH DI-TARTMENT <br />600 bast Main Street, Sto,kton, CA 95202-3029 <br />Telephone: (209) -108.3420 Fux: (209) 468.3433 Web: %vww.sjg(?v.or&bd <br />f�A'iE 74*�_� <br />FACILITY CONTAC T NAME <br />MP �--- <br />-rc Id". y <br />S&PHZO> <br />SITE NE # WITH AREA CODE <br />-CITY STATE <br />CA <br />P61 2/ <br />ZIP CODE I # OF TANKS AT SITE <br />PPL.tCAt4 IViRtt+4G NAML APPLICANT CONTACT NAME <br />MAII_lt:U ADDRESS J(PPI-Ir TPWOZE#VVITHAREACODE <br />G� <br />CITY STAT t- ZIP CODE CIRC OR WORICTO DE DONE CONTRACTORICC # <br />S. T-4; 27 e2l <br />iV�TIIIF _'ITY <br />2003 2004 2005 2006 2007 2008 <br />fSuv QEF !V,: FAGI.-ITY FEE - I TANK (2002200/) <br />LUDE3 FACILITY FEE I TANK (2008) <br />121Ri.:R TA <br />.� NK AFTFR FIRST TANK <br />irtw.SSESSED <br />,.n A, <br />--- -------- <br />A%�' S WC - iAR("F - - -$15 ! TANK <br />-S tiE; ?C' F. PGR FAQ 1. T I FS NOT Ai. R F Ab Y ON I NVL N OR Y IN A CU PA PROGRAM 152 4.00/ FACILITY <br />I (_0SURf-. <br />_1 Als,' 1. 1 '_9 FEE= S294 /TANK # TANKS X$294= <br />-F - � <br />w. P �.-_�Y' RL: <br />'_!____---._._._____-_^__-_-.- TEMPORARY CLOSURE FEE $294 FACILITY <br />I A L A 1 iC, N PLAN CHECK <br />PLAN <br />_2�HECK FEE = $784 i FACILITY <br />1 AiK ir rr <br />i ITH-PAlk FEE 5294! FAC11.1 I Y klow for monitoring equipment, cold starts, EVIR upgrades, <br />F ='1Z:-; FACILITY <br />_USL for eiping, under -dispenser containment, 6cl.) <br />I bt;F1.,ANL:CUS <br />12 C <br />t J,1,JAUT%iGR!7[:0 RF!_EA!.',E EVALUATION FEE $138/HOUR <br />S 98/ HOUR <br />OFFICE USE ONLY <br />li�f RFIll,'ST 4 1 FACILITY 10 AMOUNT RECEIVED CHECK N RECEIVED BY I DATE <br />S,R <br />