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11 <br />E <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sicehd.com <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />Harry's One Stop Market <br />Harry <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />1151 W Louise Ave <br />209 1 461-6337 <br />CITY <br />STATE MP CODE # OF TANKS AT SITE <br />Manteca <br />CA 95336 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Elite IV Contractors <br />Megan Mitchell <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />2535 Wigwam Dr <br />209 461-6337 <br />CITY <br />STATE I <br />ZJP CODE CIRCLE WORK TO BE DONE <br />CONTRACTOR IGC # <br />oc on <br />a 1 <br />95205 Closure Installation Repair Retrofit <br />$ <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $3901 TANK <br />2010 <br />2011 <br />2012 <br />2013 <br />2014 <br />2015 <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK <br />$ <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser containment, act. <br />$ <br />1 <br />$130 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $151 TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$35.001 FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): <br />CLOSURE FEE = $3901 TANK <br /># TANKS X $390 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID #(s) : <br />TEMPORARY CLOSURE FEE = $3901 FACILITY <br />INSTALLATION PLAN CHECK <br />Plan Check and Construction Inspections) <br />TANK ID #(s): <br />PLAN CHECK FEE = $1040 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />$ <br />TRANSFER FEE _ $ 25 <br />$ <br />TANK RETROFIT REPAIR FEE = $3901 FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />41 .00 <br />spill buckets, sumps, misc. <br />$ <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser containment, act. <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $ 25 <br />$ <br />CONSULTATION FEE = $ 1301 HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 1301 HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 130/ HOUR <br />F[:t:5 AKC t%AaCU LM I MC 409.3{1 MVUKLY KA I C.. I MAC 1 nA 1 rAf iCCYS I-CC3 rAIIJ YYILL OC MILLCU 1 U ArrLK.AR F. I <br />TOTAL+ 11 <br />jam, ✓„„...,-�-- <br />W <br />