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1 <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />aIILrnmmirn eTnmaer Tarr monOmam - CCC ImImIfRNi_ <br />F FACILITY/SITE NAME <br />FACILITY CONTACT NAME <br />ACalifornia Water Service Company <br />C <br />Mike Fowler (209) 464-8311 <br />L STREET ADDRESS 1646 Wagner Avenue <br />1 <br />SITE PHONE t frith Area Code) <br />T <br />Y CITY Stockton, <br />STATE <br />IIP CODE <br />1 of TANK'S <br />PLAN CHECK FEE = $30.00 each SUBMISSION/RESUBMISSION <br />CA <br />at Site 1 <br />A APPLICANT/BILLING NAI1V�E <br />P Califonria Water Service Company <br />APPLICANT CONTACT NAME <br />Mike Fowler <br />P <br />V <br />E <br />I MAILING ADDRESS 1602 E. LaFayette Street <br />APPLICANT RHONE 1 (with Area Code) <br />C <br />1986 <br />N CITY Stockton, CA <br />STATE <br />CA <br />IIP CODE <br />1 95205 <br />TYPE of APPLICATION Tank <br />(Closure, Installation, etc.) Removal <br />T <br />f <br />C PERMANENT CLOSURE (Removal or Closure -in-place) P <br />FACILITY FEE = $100.00 each SITE ADDRESS per YEAR <br />TOTAL <br />A <br />C <br />T <br />1 <br />R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br />1986 <br />1987 <br />1988 <br />1989 <br />A <br />N <br />PLAN CHECK FEE = $30.00 each SUBMISSION/RESUBMISSION <br />$ <br />A <br />1 PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum <br />one hour to be paid on plan submittal) <br />$ <br />V <br />E <br />_— <br />TANK FEE _ $50.00 each TANK <br />F <br />AL <br />C <br />1 TanksY 150.00 <br />(multiply_ I_ by fee for <br />each year applicable) <br />1986 <br />1987 <br />1988 <br />1989 <br />FEE = 135.00/hr <br />f <br />TOTAL BE <br />$ <br />I <br />L <br />STATE SURCHARGE = $56.00 each TANK (see CA HEALTH 4 SAFETY CODE Sec 25261 for applicability) <br />T <br />Y <br />1 Tanks v 156.00 <br />(enter mount and year) <br />1986 <br />1987 <br />1988 <br />1989 <br />$ <br />C PERMANENT CLOSURE (Removal or Closure -in-place) P <br />L <br />0 CLOSURE FEE = t90.00 each TANK <br />1 Tanks a $90.00 V . 90.00 <br />_.lE <br />6 <br />R TEMPORARY CLOSURE (Only allowed one time for up to two years) <br />E <br />TEMPORARY CLOSURE FEE _ $80.00 each TANK <br />i Tanks.__-_ a $80.00 <br />1 Tanksx $110.00 <br />4 <br />REPAIR <br />COMP 1 <br />c; <br />P <br />PLAN CHECK (Installation or Repair) <br />I CHECK I/CASH <br />L <br />1 Tanksx $110.00 <br />4 <br />A <br />N <br />PLAN CHECK FEE = $30.00 each SUBMISSION/RESUBMISSION <br />$ <br />REPAIR <br />COMP 1 <br />LOC CODE DIST CODE <br />AMOUNT DUE <br />R <br />E TANK REPAIR FEE = $110.00 each TANK <br />I CHECK I/CASH <br />RCVD BY DATE RECEIVED PERMIT 1 <br />1 Tanksx $110.00 <br />4 <br />P <br />A <br />1 PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum <br />one hour to be paid on plan submittal) <br />R UNAUTHORIZED RELEASE EVALUATION <br />when applicable) <br />CONSTRUCTION <br />INSPECTION <br />SAMPLING <br />INSPECTION <br />fEE = 530.00/hr <br />FEE = $35.001hr <br />FEE = 135.00/hr <br />f <br />TOTAL BE <br />f <br />art tct <br />SNEEPS t <br />COMP 1 <br />LOC CODE DIST CODE <br />AMOUNT DUE <br />AMOUNT RCVD <br />I CHECK I/CASH <br />RCVD BY DATE RECEIVED PERMIT 1 <br />7'7-8> <br />