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nAgrammma <br />FACILITY NAME <br />Atwal Inc / Plaza Liquors <br />FACILITY CONTACT NAME <br />&an' S <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />800 S Cherokee Lane <br />( 209 )368-0127 <br />CITY <br />STATE <br />ZIP CODE <br /># OF TANKS AT SITE <br />Lodi <br />CA <br />95240 <br />APPLICANT BILLING NAME <br />Elite IV Contractors <br />UST FEES = $550 <br />APPLICANT CONTACT NAME <br />Deborah Jones <br />APPLICANT MAILING ADDRESS <br />2535 Wigwam Drive <br />UST FEES <br />APPLICANT PHONE # WITH AREA CODE <br />209 461-6337 <br />CITY <br />Stockton <br />STATE <br />CA <br />ZIP CODE <br />95205 <br />CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />1001331 A-Hazrnat <br />Closure Installation Repair Retrofit <br />ACTIVE FACILITY <br />UST FEES = $550 <br />2014 <br />2015 <br />UST FEES <br />2016 <br />UST FEES <br />2017 <br />VPH UST FEES = <br />2016 <br />$ <br />(Facility+1st <br />PIPING REPAIR FEE = $456 / FACILITY use for piping, under4s enser containment, etc. <br />= $583 <br />$ <br />= $641 <br />$961 Facility+ <br />THE $152 HOURLY_ TE. TIMEHOUR THAT EXCEEDS FEES PAID <br />WILL <br />Tank) + $130/Tank <br />TO APPLICANT. <br />Facility+ <br />Facility+ <br />$228/Tank <br />after 1st <br />$139/Tank <br />$152/Tank <br />Double Wail & 1702 <br />$ <br />Compliant UST <br />FEES= $680 <br />Facility + $2281Tank <br />Tank Penalty <br />$ <br />Assessed for <br />Unreported Tanks <br />(Based on Annual <br />Permit Fees <br />TANK SURCHARGE =$201 TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY INA CUPA PROGRAM =$49.001 FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure In Place <br />TANK ID # (s) : CLOSURE FEE = $456 / TANK # TANKS X $456 = $ <br />TEMPORARY CLOSURE <br />I TANK ID # (s) : I TEMPORARY CLOSURE FEE _ $456 /FACILITY I I <br />REPAIR PLAN CHECK <br />TANK ID # {s) <br />$ <br />TRANSFER FEE = $ 25 <br />$ <br />TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />456 <br />Spill buckets sums misc. <br />$ <br />PIPING REPAIR FEE = $456 / FACILITY use for piping, under4s enser containment, etc. <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE = $ 25 <br />$ <br />CONSULTATION FEE _ $ 152/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE _ $152 / HOUR <br />$ <br />SAMPLING INSPECTION FEE$152! <br />EES ARE BASED ON <br />THE $152 HOURLY_ TE. TIMEHOUR THAT EXCEEDS FEES PAID <br />WILL <br />BE BILLED <br />TO APPLICANT. <br />TOTAL AMOUNT DUE $456 <br />OFFICE USE ONLY <br />SERVICE REQUEST N FACILITY ID AMOUNT RECEIVED CHECK N RECEIVED BY DATE RECEIVED <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 <br />vvwwsjcehd.com <br />