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06-01-1999 10:16AM FP001 Tp 4648349 P.01 <br />`�- PUBLIC AE—A—LT-H SERVICES ate... <br />SAN JOAQUIN COUNTY r` <br />ENVIRONMENTAL HEALTH DIVISION <br />Karen Furst, M.D., M.P.H., Health Officer <br />304 East Weber Avenue, Third Floor • Stockton, CA 95202 <br />2091468-3420 <br />NOTICE <br />To: Small Quantity Hazardous Waste Generator Facilities <br />From: Environmental Health Division <br />Date: May 25,1999 <br />Re: Hazardous Waste Generator Program and State Facility Surcharge Fees <br />On June 25, 1998, the Board of Supervisors adopted a revised Hazardous Generator Fee <br />Schedule and established a new fee category for Small Hazardous Waste Generator facilities <br />(generating less than five tons per year). The enclosed billing statement includes the 1999 Small <br />Hazardous Waste Permit fee of $100. <br />As the Certified Unified Program Agency (CUPA) for San Joaquin County, the Environmental <br />Health Division (EHD) is also required to collect a state facilit jsurcharge fee for each facility <br />regulated under the Hazardous Material Release Response Plans, Hazardous Material <br />Management Plans, California Accidental Release Prevention Program (Cal -ARP), <br />Hazardous Waste Generator Program Tiered Permitting Program or Underground <br />Storage Tank (UST) Programs. If our records indicate that your facility was not previously <br />billed for the state facility surcharge of $18.50 for 1998 and/or $10.00 for 1999, these charges <br />are included on this billing statement. <br />If used oil is the only hazardous waste generated by your facility, you may be eligible for a 50% <br />reduction in the Small Hazardous Waste Generator Permit Fee next Year. Please complete the <br />"Used Oil Only" statement on the bottom of this letter and return it with your payment. An <br />inspection will be performed to verify regulatory compliance and confirm that you are a "Used <br />Oil Only" small hazardous waste generator. <br />If you have any questions or require further information, please contact Doug, W' n, <br />Hazardous Waste Program Supervisor, at 468-3446. '`'y' i'1i�N <br />RECEIVED <br />USED OIL ONLY' <br />Facility Name: <br />Facility Street Address: <br />City: -1 c zr--(L.v� <br />JUN 141999 . <br />SAN JOi'.QUIN COUN't1' <br />RURLIC HEAT TH = c[±virr <br />Contact Person: 4 �t k !7`i4 yX)AC1l-4b v Phone:_ <br />I certify that the only hazardous waste crated by the above referenced Facility is USED <br />OIL and that the total amo ted ' r is less than 5 tons. <br />Signed• <br />A Division oFSsa )oagwn Conry Halth Cate Strias <br />