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ENVIRONMENTAL HEALTH PAGE 01 <br /> 08/21/2006 15:54 4640138 <br /> SAN JOAQUTN COUNTY <br /> )ENviRONMWIAL HEALTH DEPAR'T'MENT <br /> 304 Esst Weber Avenue.3'1 Fk)w,Stockton,CA 95202-2708 <br /> TclepkoRe:(209)468-3420 F=(Pfl"r):(209)468-3433 Web:www-s ov <br /> FACILITY CONTACT NAME <br /> FACILITY NAME < , <br /> PHONE <br /> FACILITY AD ESS <br /> STATE ZIP ODE -f OF TANKS AT SITE <br /> CITY CA <br /> S <br /> APPLICANT CONTACT NAME <br /> APPLJCANT OLLjNG NAME <br /> i 1 <br /> ' CC C7 SANT PHONF s tIVITN AREA CODE <br /> APPLICANT MAILING ADDIS 4 <br /> 5 h✓1 C r� / zIP GODS CIRCLE WORK TO 8E DONE CONTRACTS ICC S <br /> STATE <br /> CITYtim <br /> Re"M <br /> ACTIVE FACILITY 02 2003 2004 2005 2006 <br /> 2001 20 <br /> 5500 FEE INCLUDES FACILITY FEE+1 TANK $ <br /> ;125 PER TANK AFTER FIRST TANK $ <br /> TANK PENALTY ASSESSED <br /> TAIL r 3 <br /> TANK SURCHARGE_$is -5,24.001 FACILITY <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON IN1lENTORY IN A q.IPA PROGRAM- <br /> pF�IANEFiT"%VJ ME $ <br /> Remoral or Pem*ted Cw-jre i►Place !TANK Y TANKS X 5285 <br /> CLOSURE FEE=Sz85 <br /> TANK ID* s : <br /> TEMPORARY CLOSURE <br /> an Reylew and In <br /> -MµppRp,RY CLOSURE FEE=6285 I FACILITY <br /> TANK ID If(s): <br /> i IIdS ALLA�O►I oijil CHECK $ <br /> ions <br /> Plan Check and Constnw°n I <br /> S760 I FACILITY <br /> TANK 10 If(s) <br /> REPAIR PI I LAN CHECK <br /> TAt;I+:.tv I s t buckets,tank nAsc, ! <br /> 285 I FACILITYuse for <br /> ANK TcET:ROFIT REPAIR FEE $ <br /> use for I kn . -r4 _ <br /> PIPING REPAIR FEE $2851 FACILITY — <br /> I <br /> - "LLANEOUS - —_ --- 5 <br /> � IlI„CE <br /> TRANSFER t'EE <br /> Uk n6AlJT tC'KN FEE <br /> `�LEAS_EV UPTK):--_— s '!FiVu►c �._..-- s <br /> S lw HOUR MtT EXCE` Ft Ltar� TO APPLICANT. <br /> SAMpk tNG 1NSPEC I ass5 N '.Er FEE a�+tE- r <br /> ALL FEES ARE <br /> CENED by DATE", <br /> OFFIC7=USE OtiLYr�.•-"!"�. c>{ECK s <br /> ILE £GF11`:� _ <br /> !r�_ o <br /> •fiRVSCE REQUEST$ FACIUTY 0 --�. — .s�•� <br /> SR <br /> FN 23 oaz MKMSEo 0712$") <br />