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• RECEIVEL <br />SAN JOAQUIN COUNTY NOV 0 r 2015 <br />ENVIRONMENTAL 14FALT11 DEPARTMENT <br />1868 E. Hazelton Ave-, Stockton, CA 95205-6232 �j��*�[�, �,g <br />Telephone: (209) 468-3420 Fur: (209) 468-3433 Web: www.sicehd.conn E� � y IRVl�iMEl�lTA[ <br />FAr_Ir rTv uAur- HI=AITW n[70 IDTAjrKIT <br />Costco #1031 <br />ACILITYADDRESS <br />244.0 Daniel St, <br />ITY <br />Manteca <br />?PLICANT BILLING NAME <br />Elite IV Contractors <br />3PLICANT MAILING ADDRES <br />2535 Wigwam Dr <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK <br />$130 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $151 TANK <br />STATE SURCHARGE FOR FACILITIES NOT Al. <br />PERMANENT CLOSURE <br />'Removal or Permitted Closure in Placer <br />CA <br />ZIP <br />ON <br />;I1 E PHONE # WITH AREA ( <br />209 ) 209-824-2880 <br />IP CODE <br />95336 <br />LICANT PHONE N W <br />!091 461-6337 <br />:1RCLE WORK T4 B <br />T <br />2009 j 2010 1 2011 12012 12013 1 2014 <br />IN A CUPA <br />FACILITY I $ <br />TANK ID # s CLOSURE FEE = $3901 TANK # TANKS K $390 = $ <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) TEMPORARY CLOSURE FEE = $390 f FACILITY $ <br />ICC <br />MISCELLANEOUS <br />TRANSFER FEE = $ 25 $ <br />CONSULTATION FEE = $ 1341 HOUR $ <br />UNAUTHORIZED RELEASE EVALUATION FEE = 5 1301 HOUR $ <br />SAMPLING INSPECTION FEE = $ 1301 HOUR $ <br />FEES ARE BASED ON THE $930 HOURLY RATE. 11-1-111-1--M FEES PAID WILL BE BILLED TO APPLICANT. <br />TOTAL AMOUNT DUE $ <br />