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1868 E�. I fazelt()j) � e., Stockton. (,,-\ 9j 105-62.12 <br />Telephone: 1209) 468-3 <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />FACILITY <br />ADDRESSSITE PHONE # WBTH <br />AREA CODE <br />APPLICANT <br />1PI, I1 11 1 1, 1 : CONTACT <br />:ONTACTNAM <br />APPLICANT MAILING ADDRESS <br />Q <br />APPLICANT PHONE TH'AREA GORE <br />CITY <br />Ll <br />STATE ZIP CODE <br />CIRCLE 1IVOR�—OSE DONE <br />Closure 11- t flati, — I CONTRAC—T­0R-1C`C­#---' <br />ACTIVE FACILITY <br />e air 0 it, <br />$550 FEE INCLUDES FACILITY FEE I TANK2009 2010 2011 2012 2013 <br />$130 PER TANK AFTER FIRST TANK 2014 1 <br />TANK PENALTY <br />ASSESSED <br />TANK SURCHARGE = 515 / TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON <br />PERMANENT CLOSURE <br />INVENT Y IN A CUPA PROGRAM =$3 <br />$.1 FACILITY <br />Removal or Permitted Closure in Place, <br />TANK ID # s <br />TEMPORARY CLOSURE <br />Plan Re and Ins <br />C SURE FEE = 53901 TANKTANKS X 5390 <br />ections) <br />TANK ID # (s) <br />INSTALLATION PLAN CHECK <br />CLOSURE FE <br />Plan Check and Construction ins ections <br />TANK ID # (s) <br />REPAIR PLAN CHECK <br />PLAN CHECK FEE = $1040 / FACILITY <br />TANK ID # (s) <br />TANK RETROFIT REPAIR FEE = $390 FILITY <br />(use t0f monitoring <br />equipment, cold starts EVR uades <br />buckets. mise } pg� <br />PIPING REPAIR FEE - $39 FACILI <br />MISCELLANEOUS <br />- ion unoer-dis enset containment eci <br />TRANSFER FEE S25 <br />HOUR <br />-!?_NAUTHORIZED RELEASE El - UATION FEE S 130 1 HOUR <br />SAMPLING INSPECTION FEE = S 130? HOUR <br />FEES ARE BASED ON ThIE <br />$130 OURLY RATE. <br />TOTAL A UNT OU w <br />TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />OFFICE USE ONLY <br />