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. 1 <br />SAN JOAQUIN COUNTY �� � '` ' �. . •,� �— '� <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 rs <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: WM,§ieov.or Jeh <br />1016 <br />5ACI! <br />NAME <br />APPLICANT MAI INO ADDRESS lE#WITHARIlACQDfi <br />FACILITY ADp ES8 <br />SITE PHONE #WJTHAREA C�OIDE <br />jj <br />41 <br />CITY <br />I STATE ZIP CODE <br /># OF TA SAT SITE <br />U <br />CA <br />$ <br />AP LICA T BILLING NAME Pi AP LtCANT C NTACT NAME <br />APPLICANT MAI INO ADDRESS lE#WITHARIlACQDfi <br />LF <br />C J3 P E <br />zIP CGDE 0111CLE WORK TQ BE DO COh1TRACTOR ICO # <br />Closure Installallon at I <br />V <br />ufli- �� �>�iL <br />ACTIVE FACILITY <br />20Q8 <br />20Q9 <br />2010 <br />2011 <br />2012 1 <br />2013 <br />$600 FEE INCLUDES FACILITY FEE + 1 TANK (2007-2008) <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $125 / HOUR. <br />SAMPLING IN5PECTION FSE w $1261 HOUR <br />PAID WILL 13E BILLED TO APPLICANT <br />$ <br />$650 FEE INCLUDES FACILITY FEE +'l TANK (2009-2012) <br />$128 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = 151 TANK <br />STATE SURCHARGE FOR FACILITIES NOTALREAOY ON INVENTORY IN A CUPA PROGRAM =$3&001 FACILITY <br />TANK 10 # (s) : <br />TANK RETROFIT REPAIR FEE .$3751 FACILITY (use for ntongoring equipment, Cold starts, EVR upgrades, <br />MISCELLANEOUS <br />ALL FEES ARE BASED T HE $126 HOURLY RAYS. TIMET ATE CEEO$ FEES <br />TRANSFER FEE = 26 <br />$ <br />CONSULTATION FEE = S 1261 HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $125 / HOUR. <br />SAMPLING IN5PECTION FSE w $1261 HOUR <br />PAID WILL 13E BILLED TO APPLICANT <br />TOTAL AMOUNT WE $ <br />JUL <br />