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• SANTOAQUIN COUTiTY • <br />ENVIRONMENTA)', HFAUM DEPARTMENT - <br />304 East Webcr Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fos (P- loor): (209) 468-3433 Web. www.$1Eov.orWgbd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />Q . 2_ a &I <br />C19 -u FTK— <br />FACILITYADDRESS <br />SITE PHONE #WITH AREA CODE <br />33 L4 E Maxti St, <br />(fT �-g%- -)3 Q <br />CITYI <br />STATE <br />CA <br />qM(e <br />I # OF TANKS AT SITE <br />I ti A <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT <br />SC�1 i�IC SfCdU6t S Sf-CUCC, <br />APPLICANT MAILING ADDRESS <br />0.V U��� HALGVI <br />APPLICANT PHD E#WITH AREA CODE <br />(cSb L)ivl" Acs <br />�% X13 -(003&' <br />CITY STATE CODE <br />CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />/721P <br />�e�^ <br />�.�-�i.l jQT-e- �fi. `(.� a— <br />Closure Installation(o a RetrofitSSa (),7- [,� <br />PERMANENTCLOSURE <br />Removal Of POrmltWd Closure in Placa <br />TANKIO# 3 CL0SUREFEEm$2791TANK #TANKS X$279a <br />TEMPORARYCLOSURE <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK <br />$125 PER TANK AFTER FIRST TANK <br />2000 <br />2001 <br />2002 <br />2003 <br />2004 <br />2005 <br />$ <br />TANK PENALTY A$SESSEO <br />$ <br />TANK SURCHARGE -$15/TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM °$24.001 FACILITY <br />$ <br />PERMANENTCLOSURE <br />Removal Of POrmltWd Closure in Placa <br />TANKIO# 3 CL0SUREFEEm$2791TANK #TANKS X$279a <br />TEMPORARYCLOSURE <br />Plan Reviewand lns °tions <br />TANK ID # (a): <br />TEMPORARY CLOSURE FEE= $279 1 FACILITY <br />REPAIR PLAN CHECK <br />I CATS RECENED <br />TANK ID# s <br />$ <br />TANK RETROFIT REPAIR FEE = $279 1 FACILITY use for =nRorinq a u. mant. spill buckets, tank sumps. mist.) <br />$ <br />PIPING REPAIR FEE 791 FACILITY use for piping, undendls ansa containment, act.)r6� <br />$ <br />MISCELLANEOUS <br />I CATS RECENED <br />TRANSFER FEE = $ 20 <br />$ <br />CONSULTATION FEE _ $ 93) HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 931 HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 93r HOUR <br />ALL FE65ARE 6ASE0 oN THE 593 HOURLY RATF_ nr.� TMGT vYrepene eme o.,........,� e.. .-....... __..__.._ <br />$ <br />n rcirm IM=nen v <br />SERVICE REDUE6T# FACILITY IC ANk7UNT RECEIVED CHECK# I Rise ENm BY <br />I CATS RECENED <br />SR <br />EH 23 eM2 (REVISED OZf=W/ <br />