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SAN JOAQUIN COUNTY RECEIVED, <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205-6232 MAY 0 9 2016 <br /> Telephone:(209)468-3420 Far:(209)468-3433 Web:www.sicehd.com <br /> FACILITY NAME FACILITY CONTACT NAME VIRONMENTAL HEALT I <br /> AG Spanos Jet Center Tara Hagopian PERMIT/SERVICFS <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 4800 S Airport Way 1209 ) 993-2481 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> Stockton CA 95206 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Elite IV Contractors Megan Mitchell <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 2535 Wigwam Dr. 1 20 461-6337 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONECONTRACTOR IGC# <br /> Stockton Closure Installation Repair Retrofit <br /> ACTIVE FACILITY <br /> 2009 2010 2011 2012 2013 2014 <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK <br /> $130 PER TANK AFTER FIRST TANK $ <br /> $ <br /> TANK PENALTY ASSESSED <br /> $ <br /> TANK SURCHARGE=$15/TANK <br /> $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$35.00/FACILITY <br /> PERMANENTCLOSURE <br /> Removal or Pennitted Closure in Place <br /> TANK ID#(a): CLOSURE FEE=$3901 TANK #TANKS X$390= <br /> TEMPORARYCLOSURE <br /> Plan Review and Inspections) <br /> TANK ID#(a): TEMPORARY CLOSURE FEE=$390/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) $ <br /> TANK ID#(s): PLAN CHECK FEE=$1040/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(a): <br /> $ <br /> TANK RETROFIT REPAIR FEE =$390/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, 390,0 <br /> spill buckets,sumps.In sc. <br /> $ <br /> PIPING REPAIR FEE=$390/FACILITY use for piping,under-dispenser containment,eco <br /> MISCELLANEOUS <br /> TRANSFER FEE = $25 <br /> $ <br /> CONSULTATION FEE _ $130/HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $130/HOUR $ <br /> $ <br /> SAMPLING INSPECTION FEE _ $130/HOUR <br /> FEES ARE BASED ON THE 5130 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED I CHECK—# _ I RECEIVED BY DATE RECEIVED <br /> EH 23 032(REVISED 0"4.14) <br />