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P.UBL't 't'EAL <br />T � SERVO,�`�S µt� <br />MN 10►W N c6uN` Y <br />ENVIRONMENTAL HEALTH DIVISION <br />Karen Furst, M.D., KRH., Health Officer •� :• <br />504 East Weber Avenue, Third Floor • Stockton, CA 95202 a <br />209/468--U20 <br />NOTICE <br />To: Small,Quantity Hazardous Waste Generator Facilities <br />From: En' omental Health Division <br />Date: May ,1999 <br />Re: $mr dous 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 establisp ed 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 U ' ed Program Agency (CUPA) for San Joaquin County, the Environmental <br />Health Division ) is also required to eollept a W& f ill efee for each facility <br />regulated under the dour Material Release Response Plans, Hazardous Material <br />Management Plans California Accidental Release Prevention Program (Cal -ARP), <br />Hazardous Waste �enerator Program, Tiered Permitting Program or UndeMround <br />Storage Tank. !SZ) Programs. If our records indicate that your facility was not previously <br />billed for the st'lits surcharge of $18.50 for 1995 and/or $10.00 for 1999, these charges <br />are included on this bi Ling statement. <br />If used oil is the only azardous waste generated by your facility, you may be eligible for a 500 <br />reduction in the Small Hazardous Waste Generator Permit Fee next 'ear. Please complete the <br />"Used OR Only" stat meet on the bottom of this letter and return it with your payment. An <br />inspection will be pe rmecl to verify regulatory compliance and confirm that you are a "Usod <br />Oil Only„ sniall.hazar4ous waste generator. <br />If you have any questions or require further information, please contact Doug Wilson, <br />Hazardous. W,asta Pro am Su v-i&z at 468-3446. . <br />---------w ---­�YYY,IY��-n <br />USED OIL ONLY <br />Facility Name- <br />Facility Street Add> ess: <br />Contact Pe on: Phone: <br />I certify that the only ardous waste generated by the above referenced Facility is USED <br />OIL and that the total mount generated per year is less than 5 toffs. <br />A oiviiion of Sul Joaquin County HcRIth Can: Sorvim <br />TOTAL P.02 <br />