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08/21/2006 15:54 4640138 ENVIRONMENTAL HEALTH PAGE 01 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONI&WTAL HF.ALTM DEPARTMENT <br /> 304 East WebCr <br /> Avtnue.P Floor,Stockwri,CA 95202-�8 <br /> Telephone:(209)468-3424 Pat(S"flsor):(209)468-x433 web:www�r sieovoegJr� <br /> ACILfIY FIANIE FAC CONTACT ;= <br /> /,{ J <br /> FACIL ADDR£55 SITE PHONE S WTTH AREA CONE <br /> � r �TMIICS AT SITE <br /> CITY ATE ZIP COD <br /> CA <br /> APPLICANT BriWG NAVE APPLICANT CpNTAc7 NA1iI5 <br /> PLICANT MAILING AWFT£4-S APPLJCANT p"OHE 2 WITH AREA COOL <br /> CITY <br /> STATE ZTP CO0E CIRCLE WORK TO RE DONE CONTRACTOR ICC 0 <br /> i�f G 6 CbSum I�lat3an Re"r Re"t <br /> ACTIY� <br /> FAC TY / J <br /> 2001 2002 2003 2004 2005 2006 <br /> $500 FEE iNCj-UDFS FACILITY FEE+I TANK <br /> $125 PER TANK AFTER FIRST TANK <br /> 5 <br /> T, NK PENALTY ASSESSED $ <br /> TANK SE 2C1 IARG> S15!TANK $ <br /> STATE Stili HARGE I'OR FAC1 MES NOT ALREADY ON STORY IN A I;UPA PROGRAA F=524.Oo►FAC1LITl' <br /> PERM On CLOSURE <br /> Ftemowal or Pw—1 ed C mxe in tt b <br /> CLOSURE FEE=&2951 TANK S TANKS X 5285= <br /> TANK IDN s <br /> TlatrIPORARY GLOsuRE <br /> an Review and <br /> TANK iD iT(s): TE MMRARY GLOSUREa FEE w 3285 J FACILITY <br /> INS ALLATION Pe AN cMCK <br /> Plan Chhsdc and Gonsbvesn I <br /> �PLANGHECK FI=F=$7601 FACILFTY <br /> TANK IO�f(s): <br /> R PAIR PLAN CHECK <br /> TAW IDS 5 <br /> buckals.ranks Misr_ <br /> TANK RErRoFiT REPAIR FEE $2n I FACILE ff use for <br /> PIPING pEpAIR FEE =E2851 FACILITY <br /> use for .under rorRairr<r►e'r'Ii,Eck <br /> PAISCELLANEOUS $ <br /> TRANSr-ER FEE _ S 2D $ <br /> CONSULTATION FEE S 95 }LOUR <br /> UNAuTHORIXED REI- E[VALL1ATtON FE£ = S 95!HOUR �, <br /> SAMPLING INSPFCTION FEE = 3 4 T DS g PAM WILL BE TO APPLiCwi+IT- <br /> ALL FEES ARE OM TFfE ii t1omLY RATE. TM <br /> OFFICE USE ONLY tt�CEtVED C�ILCK E REEU 8Y t9ATE RECEIVED <br /> sti VICE ttEQUEsi s fAGIUTY iD <br /> SR <br /> EH 23 032 OtEWMD O712S"1 <br />