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e <br />SAN JOAQUIN Cowry <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Str`et, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web:.www. ip-momy/elid <br />wrrLi,NN I Jd"pk7NG NAME <br />APPLICANT MAILING ADDRESS <br />r( r). <br />:fTY STATE I Z5 <br />5500 FEE INCLUDES FACILITY FEE + 1 TANK (2003-2008) <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK <br />5125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = S15 / TANK <br />* (s): <br />TANK 10 # <br />CIRCLE WORK TO BE <br />Closure Installallon Remi <br />911��1 <br />10 <br />=$315/T <br />FEE = $315 <br /># TANKS Xmm= I <br />