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02/05,12003 08:11 9163712450 BZ MANITANENCE PAGE 06/13 <br /> SAN JOA"COUN-ly is <br /> E NV I R ONMEN T A I..HX-ALTH Dj-PARTM'F,,,,r.T <br /> 600 East Main Strut,Stockton,CA 95202-3029 <br /> Tclephone. (209)4683420 Fox. (209)468-3433 Web.v <br /> fFAMCX �E FACILIWO004TACT <br /> AME <br /> F JU DR <br /> FA UTY ADDRESS SITE <br /> SITE NE a AF&A Co <br /> CITY AFT X <br /> of 2( �6v <br /> CA <br /> ARIPLICANIT BILLING NAME <br /> -3 -. . APPLICANir CONTACT P <br /> APPANTMAILING At) RESS Fjo—17A <br /> A APPLICANT PHONE t hi AREA CODE <br /> CITY STATE ZIP <br /> OF CIRCLE WOFRtK TO DOME CONTRACTOR IdC—i7 <br /> '� Closure TO.'P &C'., I - <br /> RL ,a <br /> 'tr <br /> 6 <br /> Installation, op , RetroVt <br /> AcTrVE FACILITY <br /> —07 <br /> 5600 FEE INCLUDES FACILITY FEE-I TANK(2002-2007) 2003 2004 2005 2006 'io2008 <br /> $550 FEE INCLUDES FACILITY FEE+I TANK(2009) — <br /> j_$126 PER TANK AFTER FIRST TANK <br /> TANK PENALTY ASSESSED <br /> TANK <br /> STATE SURCHARGE FOR FACILITIES-NOTAR Y ON INVENTORY IN A C PROGRA 424,00/FACILITY <br /> $ <br /> PERMAN OSURE <br /> TANK 10 s CLOSURE FEE m$294 ITANK 1 TANKS X <br /> TEMPORARYCLOSURE <br /> TANK 10 0(a); TEMPORARY CLOSURE FEE m$294 FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> (Ran Chook WW ConStrudlon Inspections) <br /> TANK ID*(a)._ PLAN CHECK FEE $7841 FACILITY <br /> REPAIR PLAN CHECK <br /> TANK Ip (s) <br /> TANK RETROFIT REPAIR FEE =$2841 FACILITY (use for rnanitomq $ <br /> , 044ipffftt,cold staft EVR upgrades, <br /> WSL sumps,mIsr) <br /> J <br /> PIPING RZPAIRIFEE $2911 FACILITY (use for DbiritL urAlor-dWensercrjfftInM!2,act.L__ <br /> MISCELLANEOUS <br /> TRANSFER-FEE,-- $20 $ <br /> C.0 ATP FEE = 5 98/HOUR $ <br /> 1--UNALrrHORIZED RELEASE EVALUATION FEE $ <br /> [-SAMPLING!NSPECTION FEE m S 28 HOUR $ <br /> ALL PEOSARE IBANUONTME$W-PidliEY-RATE. TIME THAT Ur—.EE08 FEES FAID WLIRVEXIM APPLICANT, <br /> PFFICE USE ONLY <br /> - QUEST* I FACILITY I AMOUNT REC113VED CK# Rmmm WY--- j DATE RECS211MAD <br /> [SR <br /> EN 23 032 01011VI 1:V31107) <br />