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SAN JOAQUIN COUNTY <br />e ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: orgLehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />2004 <br />2005 <br />2006 <br />2007 <br />FACILITY ADDRESS <br />2009 <br />SITE PHON # WITR AREA CODE <br />$ <br />/��� '2,q-2 � <br />Z� <br />Iry <br />STATE <br />ZIP CODE # OF TANKS AT SITE <br />CONTRACTOR ICC # <br />CA <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />2004 <br />2005 <br />2006 <br />2007 <br />APPLICANT MAILING ADDRESS <br />2009 <br />A LIGAN PHON9WITH AREA CODE <br />$ <br />/��� '2,q-2 � <br />CITY <br />STATE <br />ZIP CODE <br />CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />Closure Installation Repair etrofit <br />ACTIVE FACILITY <br />TANK ID # (s) : <br />2004 <br />2005 <br />2006 <br />2007 <br />2008 <br />2009 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2004-2007) <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />SAMPLING INSPECTION FEE _ $105/ HOUR <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008-2009) <br />$ <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM =$24.00/ FACILITY <br />= $315 / TANK I # TANKS X $315_ <br />Review <br />TANK ID # (s) : I TEMPORARY CLOSURE FEE = $315 / FAC <br />TANK ID # (s) : I PLAN CHECK FEE = $840 / FACILITY <br />0 <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />$ <br />spill buckets, sumps, misc. <br />$ <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispense containment, ect.) <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE = $105/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />SAMPLING INSPECTION FEE _ $105/ HOUR <br />ALL PCC.1 AMC DMOCLI WM I n= V <br />