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FACILITY."IANIE <br />FACILITY ADDRESS <br />f N - <br />SAN JOAQt III IN(C011 IN'I'Y <br />INVIRONMENTAI, I WALTI I DHIARTMI:NT <br />600 Fast Main Street, Stockton, CA 95202-3029 <br />Tekwholw: (209) 468-1420 f'eix: (209) 468-3433 MVb: w—.w\w'v.Si"'ov.or /Chd <br />SITE PHONE # WITH AREA CODE <br />ATE ZIP CODE # OF TANKS AT <br />LAPPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />APPLICANT MAILING ADDRESS <br />(Removai -,r Permitted Closure in Place) <br />APPLICANT PHONE # WITH AREA CODE <br />I <br />3 <br />CIRCLE WORK TO BE DONE CONTRACTORICCi, <br />Closure Installation Repair Retrofit <br />CITY <br />STATE <br />ZIP CODE <br />L <br />-- <br />*E 4 <br />.CILiTY <br />2004 2005 ;-)UUb 2VU( <br />5500 FEEEE :INCLUDES FACII.1 FY FEE + 1 TANK (2004-2007) <br />S550 FEC_ INCLUDES FACILITY FEE + 1 TANK (2008-21008) <br />$125 PFR '-ANK AFIFR FIRST TANK <br />TANK J"EN.M.'rY ASSC5SED <br />TANK SUP.CHARGE = $151 I'ANK <br />S*IATE" S i,,+': 2C H A RG E COR F.AC I L. 11 'IES N ()T ALRE=ADY 0 N INVENTORY I N A C U PA PROGRAM =$49. 00/ 1! AC I L. I TY <br />PEP JIANENT CLOSURE <br />(Removai -,r Permitted Closure in Place) <br />$ <br />CLOSURE FEE = $34-5- TANK TTANKS X $345 <br />TANK ID <br />TEMPORARY CLOSURE <br />(Plan Revie <br />$ <br />TEMPORARY CLOSURE FEF = $345 FAC I LITY <br />TANK ID (s) <br />71N`STALL,FTION PLAN CHECK <br />'(Plan (.heck and Constrtic,,tion.l.pspeCf—l()D-Si <br />PLAN CHI -:CK FEE $920 FACILITY <br />I ANK 10 -4 (s) <br />REPAIR W -CHECK - — <br />TANK ID <br />TANK PF-ROFITRE.PAIR FEE =$345/FACILITY <br />(use for monitoring equipment, cold starts, EVR upgrades, <br />spill buckets. sumps, mise) <br />$ <br />PIPING REPAIR FEE = $345 FACILITY use for piping, under -di Denser containment, ect.) <br />MISCELLANEOUS <br />t-'- <br />TPANSF`..'' FEE $ 2( <br />H) <br />'115/ HOUR <br />'�ONSI-Jt : M10N = ..$- .. <br />UNAu'ri i(iRIZI-.D RELLASE EVALUATION FEE = $ 115 / HOUR <br />SA1`Art.lMJ INSPECTION FEE = $ 115/ HOUR <br />ALL FEES ARE BASED ON THE $115 HOURLY RATE. TIME THAT I tAkEEDS FEES PAID WILL BE BILLED TC <br />