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PUBLIC F'EUTH SERVICES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DMSION <br />Karen Furst, M.D., M.P.H., Health Officer <br />304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br />209/468-3420 <br />NOTICE <br />To: Small Quantity Hazardous Waste Generator Facilities <br />From: Environmental Health Division <br />Date: May 25, 1999 <br />Re: Hazardous Waste Generator Program and State Facility Surcharge Fees <br />On June 25, 1998, the Board of Supervisors adopted a revised Hazardous Generator Fee <br />Schedule and established a new fee category for Small Hazardous Waste Generator facilities <br />(generating less than five tons per year). The enclosed billing statement includes the 1999 Small <br />Hazardous Waste Permit fee of $100. <br />As the Certified Unified Program Agency (CUPA) for San Joaquin County, the Environmental <br />Health Division (EHD) is also required to collect a state facility surcharge fee for each facility <br />regulated under the Hazardous Material Release Response Plans, Hazardous Material <br />Management Plans, California Accidental Release Prevention Program (Cal -ARP), <br />Hazardous Waste Generator Program, Tiered Permitting Program or Underground <br />Storage Tank (UST) Programs. If our records indicate that your facility was not previously <br />billed for the state facility surcharge of $18.50 for 1998 and/or $10.00 for 1999, these charges <br />are included on this billing statement. <br />If used oil is the only hazardous waste generated by your facility, you may be eligible for a 50% <br />reduction in the Small Hazardous Waste Generator Permit Fee next year. Please complete the <br />"Used Oil Only" statement on the bottom of this letter and return it with your payment. An <br />inspection will be performed to verify regulatory compliance and confirm that you are a "Used <br />Oil Only" small hazardous waste generator. <br />If you have any questions or require further information, please contact Doug Wilson, <br />Hazardous Waste Program Supervisor, at 468-3446. <br />:-C----------------------------------------- <br />USED OIL ONLY <br />t <br />Facility Name: r1 I Ci P. -173—Li 1 JJ C, <br />Facility Street Address: ���'0-7 boc)rr LR 5 TZ 0 <br />City: `�7�'G>✓T7�� <br />Contact Person: y L -L Phone: 70.7 70 <br />I certify that the only hazardous-raste generatetlAy e� pve referenced Facility is USED <br />OIL and that the total amoynt g e{, Qd,per year is an 5 tons! <br />Signed: <br />A Division of San Joaquin County Health Care Services <br />