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j SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> / UNDERGROUND STORAGE TANK PROGRAM - FEE YORKSHEET <br /> -- Don Morris <br /> ALITT/SITE NAME FACILITY CONTACT NAME <br /> Don. s Buggle Shop <br /> L STREET ADDRESS SITE PHONE 1 rrrw �.[� eomm <br /> T <br /> 1 3245 N Wilson Way 209 463620 <br /> ' <br /> T CITY STAT IIP CODE 1 of. Tanks <br /> stookton Ca Ca 505 It <br /> Site 9 <br /> A APPLICANTFIILLIN6 NAMEAPPLICANT CONTACT NAME <br /> P AAA TAnk Removal & Demo __ Al Williamson <br /> AAA TANK REMOVAL & DEMOLITION Valley Commercial Stank 14268 <br /> 4900 N. HWY. 99, NO. 206 931-6610P.C.Boa 9700 <br /> 1031 East Waterloo Ro<d <br /> STOCKTON, CA 95212 SO Stockton,California 95208 <br /> <br /> 19.!4 <br /> PAY �LLAgS $ / D <br /> r <br /> TO NOV 2 issa <br /> THE <br /> ORDER ENVIRONMEtffAt HEALTH <br /> OF �PEQRMIovic��G��� <br /> I <br /> 0 CLOSURE TEE a 114.00,each TANK ; " 1 T+hks__.(__ 1 190.00 1 �' <br /> S <br /> U <br /> P TEMPORARY CLOSURE (Only alloyed one ties for up to tvo years) <br /> E <br /> TEMPORARY CLOSURE FEE < $80.00 each TANK 1 Tanks 1 180.00 1 <br /> P PLAN CHECK (Installation Or Repair) <br /> L <br /> A <br /> N PLAN CHECK FEE If 130.00 Nath SUBMISSIONAESUDMISSION 1 <br /> REPAIR <br /> RTANK REPAIR FEE a 1110.00 each TANK 1 Tanks 1 1110,00 t <br /> E = — — <br /> A PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, einiew one hour to be paid on plan submittal) <br /> I <br /> R UNAUTHORIIED RELEASE EVALUATION CONSTRUCTION INSPECTION SAMPLING INSPECTION <br /> (when applicable) (when applicable) (when applicable) <br /> FEE ; 130.00/hr FEE m 135.00/hr FEE < 135.00/hr t <br /> TOTAL DUE <br /> OFFICE BSE ONLY <br /> 71, <br /> �P '�,�tlSVECONp 1 LDC CODE OISi CODE ANOUNi OUE AMOUNT RCup CHECK I/CASH RCVO DT PATE P.ECEIVEO PEPMITrv w l Iw <br />