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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />UNDERGRAND STORAGE TANK PROGRAMWORKSHEET <br />IRW I* <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />Two GUys <br />1999 <br />FACILITY ADDRESS <br />SITE FqiONE # WITH AREA CODE <br />147 E. Lathrop Rd <br />(209) 858-2666 <br />CITY <br />STATE <br />ZIP CODE <br /># OF TANKS AT SITE <br />La hr <br />CA <br />251io <br />I <br />APPLICANT BILLING NAME APPLICANT CONTACT NAME <br />Elite IV Contractors Inc. Greg <br />APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br />2535 Wigwam Drive g09 )461-6337 <br />CITY STATE ZIP CODE CIRCLE WORK TO BE DONE: <br />Stockton I CA 95205 Closure Installation Repair Retrofit <br />ACTIVE FACILITY <br />1998 <br />1999 <br />2000 <br />2001 <br />2002 <br />2003 <br />$500 FEE INCLUDES FACILITY FEE + I TANK <br />($110) X (#tanks) <br />($170) X (Manks) <br />e 4 25- PER TANK AFTER FIRST TANK <br />P <br />- <br />TANK PENALTY ASSESSED <br />,rANK SURCHARGF = $151 TANK <br />,,TATE SURCHARGE FUR i�:ACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM 424.00/ FAC�Lff A_ I <br />,_ <br />iRernoval or Permitted Cles,,re In Plane <br />CLOSURE FEE = $279 / TANK I # TANKS X $2?9 = <br />Plan Review and Ins <br />LTANK ID # (s): TEMPORARY CLOSURE FEE = $279 / FACILIT <br />TANK ID # (s): <br />PLAN CHECK FEE = $744 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s): <br />TANK RETROFIT REPAIR FEE = $279 / FACILITY (use for monitoring equipment, spill buckets, tank sumps. mi,1z;.) <br />$ 279 <br />PIPING REPAIR FEE = $279 / FACILITY (use for piping, under -dispenser containment, ect.) <br />MISCELLANEOUS <br />TRANSFER FEE $20 <br />CONSULTATION FE`S $ 93/ HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE $ 93 / HOUR <br />SAMPLING INSPECTION FEE = $ 93/ HOUR <br />ALL rrr-,;.HRC o^,,muuvm Inc w4nuuKL) KAI r-. I IMM I MAI rA#.t:tLJZort::r-brAlLJWILL 1St t$ILLr-U IV Arri-II-AN I. <br />REVISED 11124103 <br />