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SAN JOAQUIN Coiwry <br /> P-NVIR()Nmp,'Iq'rAL,HFAL'iv Du'lilAWIMEN'r <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> rWephone. (209)4083420 rux. (209)468343:1 Web:www.,'iaay.t)rLU/ h <br /> FACILITY NAMEFACIOLITY CONTACT4 NAME <br /> t <br /> Y <br /> FACILITY ADDRESS v SITE PHONE 9 WITH AREA CODE <br /> CITY STATE ZIP C013E #OF TANKS AT SITE <br /> CA <br /> APPLICANT BILLING,NAME APPLfCANT CONTACT NAME <br /> AKW <br /> APFLICANT MAILING AIDDRESS APPLICANT PHONE 0 WITH AREA CODE <br /> t?.-'-A4,Ajf> '4"e - 3® 6 q <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR,IGC 9 <br /> ICA <7 yj closure Installation Ropair<!�,Oe2g-c <br /> ACTIVE FACILITY <br /> 2004 2006 2006 2007 2008 2009 <br /> $500 FF-e INCLUDES FACILITY FEE+I TANK(2004-2007) <br /> SW FEE INCLUDES FACILITY FEE+I TANK(2008-2009) -- <br /> $125 PER TANK AFTER FIRST TANK $ <br /> TANK PENALTY ASSESSED <br /> TANK SURCHARGE--$15/TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.00/FACILITY <br /> PERMANENT CEO—SUR <br /> (Rerpaval or Permitted Closure In Place) <br /> TANK ID# s): - - - - - I CLOSURE FEE&j,$315/TANK #TANKS X$315= $ <br /> 'I'VE11PORARY CLOSURE <br /> LP[aji Review-and InspecIlons) <br /> TANK ID*(s)! TEMPORARY CLOSURE F:EE, $315 1 FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Elan Check and Construction Inspectlot1s) <br /> TANK 100(r.}; I PLAN CHECK FEE $8401 FACILITY <br /> REPAIR PLAN CHECK <br /> TANK-175 i(s)i <br /> TANK RETROFIT REPAIR FEE ::$315/FACILITY (use for morilloring equipment,cold starts,EVR upgrade$. <br /> spill buckets,sumps,misc.) <br /> PINING REPAIR FEE =V151FACILITY,, (use for piptng,uy er-dispenser containment, <br /> MISCELLANEOUS - <br /> TRANSFER FEE = s 20 $ <br /> CONSULTATION P55 _t�10&HOUR $ <br /> EVALUATION FEE u $105/HOUR UNAUTHORIZED RELEASE $ <br /> SAMPLING INSPECTION ARE FEE. <br /> $1151 HOUR $ <br /> Re <br /> ALL ff BASW 014 THE$iOS HOURLY RATE. TlMf THAT EXCEEDS TE—ESPAJO WILL 159 OJLLgD 7O—APPUCA <br /> OFFICE USE ONLY <br /> SERVICE FtgtjUEST# FACILITY 5 AMOUNT RacigIVE6­1 WER# RECEIVED BY im-m RECEIVED <br /> SIR I <br /> EPHOUM <br /> (P"ISED <br /> ZZ/E0 3Jtid -nIH >ionHD EZSEEGCT99 90:11 6002/Vi/t70 <br />