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t <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />SAN TOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www_sjeov.org_lehd <br />FACILITY NAME <br />FACILITYCONTACT NAME <br />S�eC` "e E:c0"Lxe 1', c <br />C4"ri 5 rcu'" <br />FACILITY ADDRESS <br />SITE PHONE 9TH AREA CODE <br />3450. San �c c rrt SMe <br />91b 992--4451 <br />CITY STATE <br />ZIP CODE # OF TANKS AT SITE <br />cl <br />CA <br />q5�� <br />APPLICANT BILLING� NAME <br />APPLICANT CON (ACT NAME <br />S�eC` "e E:c0"Lxe 1', c <br />C4"ri 5 rcu'" <br />APPLICANT MAILING ADDRESS - <br />APPLICANT PHONE # WITH AREA CODE <br />11'83N. BIS : 5 +w 250 <br />CITY STATE r ZIP CODE <br />}�� tp5-ffa(o0 <br />CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />4 e�d�13YtI` <br />$500 FEE INCLUDES FACILITY FEE+ 1 TANK (2004-2007) <br />cl <br />Closure instailatio Re Retrofit <br />ACTIVE FACILITY <br />Removal or Permitted Closure In Plane <br />TANK ID # (s) . <br />2004 <br />2005 <br />2006 <br />2007 <br />2008 <br />2009 <br />$500 FEE INCLUDES FACILITY FEE+ 1 TANK (2004-2007) <br />TANK ID # (s) : I TEMPORARY CLOSURE FEE = $345 / FACILITY <br />$ <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008-2009) <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED __ <br />$ <br />TANK SURCHARGE = S15 /TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49.00! FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure In Plane <br />TANK ID # (s) . <br />$ <br />TANK RETROFIT REPAIR FEE = $345 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />TANK ID # (s) : <br />CLOSURE FEE = $3451 <br /># TANKS X $345 = <br />TEMPORARY CLOSURE <br />(Plan Review and Inspections) <br />TANK ID # (s) : I TEMPORARY CLOSURE FEE = $345 / FACILITY <br />a <br />TANK ID # <br />REPAIR PLAN CHECK <br />TANK ID # (s) . <br />$ <br />TANK RETROFIT REPAIR FEE = $345 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />---- <br />-- - <br />s 'El buckets, sumps, mim).. <br />spill <br />$ <br />~�iNG <br />$3 <br />66 <br />REPAIR FEE _ S54,5 /FACILITY use fq'pjpj22. under -dispenser containment. ea <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />$ <br />CONSULTATION FEE = S 1151 HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE _ $1151 HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $115/.HOUR <br />- ruar evn==rss c'=cc PA1M MLL BE 81LLEQ TO APPLICANT, <br />