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0 0 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sicehd.com <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />Ejnies General Store <br />Ernest G. <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />4407 E Waterloo Rd <br />209 931-2850 <br />CITY <br />I STATE ZIP CODE# <br />OF TANKS AT SITE <br />Stockton <br />I CA 95215 <br />Closure Installation Repair RetmBt <br />BILLING NAME <br />APPLICANT CONTACT NAME <br />ntractors <br />Megan Mitchell <br />T MAILING ADDRESS <br />APPLICANT PHONE 9 WITH AREA CODE <br />EAPPLICANT <br />wam Dr <br />2014 <br />2015 <br />iSTATE I <br />ZIP CODE. CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />$ <br />t Ca <br />Closure Installation Repair RetmBt <br />ACTIVE FACILITY <br />TANK ID # (a): <br />CLOSURE FEE = $390 / TANK <br />2010 <br />2011 <br />2012 <br />2013 <br />2014 <br />2015 <br />$ <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK <br />$ <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser Containment ecl. <br />$130 PER TANK AFTER FIRST TANK <br />$ <br />$ <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE =$15l TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$35.001 FACILITY <br />PERMANENTCLOSURE <br />Removal or Permltied Closure in Place <br />TANK ID # (a): <br />CLOSURE FEE = $390 / TANK <br /># TANKS X $300 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (a): <br />TEMPORARY CLOSURE FEE = $390 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID #(s): <br />$ <br />CONSULTATION FEE = $ 130/ HOUR <br />$417.00 <br />TANK RETROFIT REPAIR FEE = $390 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />$ <br />spill buckets, sumps, mist. <br />$ <br />$ <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser Containment ecl. <br />MISCELLANEOUS <br />TRANSFER FEE = 25 <br />$ <br />CONSULTATION FEE = $ 130/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE _ $ 1301 HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 130/ HOUR <br />$ <br />rtts Ant eAbLU un Int SIAV MUUKLT NAM. OMt 1 MAI "Utt D51-tt5 PAID WILL BE BILLED TO APPLICANT. <br />TOTAL AMOUNT DUE 1 $ 417.00 <br />