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Jul 07 06 09:46a Jeffrey C. Henley 714-739-1499 p.13 <br />0 SAN JOAOM COUNTY 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax (5`" floor): (209) 468-3433 Web: www.sj og v.orlehd_ <br />APPLICANT BILLINGNAME <br />APPLWANTdGUMAUi NAMM <br />CLOSURE FEE = $279 / TANK <br />2000 <br />w:In <br />a I =11:� :, • <br />2003 <br />It -4 313 <br />2005 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK <br />CITY STATE <br />APPLICANT BILLINGNAME <br />APPLWANTdGUMAUi NAMM <br />CLOSURE FEE = $279 / TANK <br />2000 <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE #WITH AREA CODE <br />2003 <br />It -4 313 <br />2005 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK <br />CITY STATE <br />ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 93 1 HOUR <br />Closure Instaltadonepai Retrofit <br />m <br />ACTIVE FACILITY <br />TANK ID # s : <br />CLOSURE FEE = $279 / TANK <br />2000 <br />2001 <br />2002 <br />2003 <br />2004 <br />2005 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 93 1 HOUR <br />SAtV1PLING INSPECTION FEE $ 931 HOUR <br />mi l en -.%,% An= MdYT <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.OW FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # s : <br />CLOSURE FEE = $279 / TANK <br /># TANKS X $279 = <br />TEMPORARY CLOSURE <br />Plan Review and Ins ons <br />TANK ID 0 (s) : <br />TEMPORARY CLOSURE FEE = $279 t FACILITY <br />TANK ID # (s) : <br />REPAIR PLAN <br />TANK ID # (s) : 1 r L I �> °-F <br />TANK RETROFIT REPAIR FEE = $279 / FACILITY (use for <br />PIPING REPAIR FEE = $2791 FACILITY (use for <br />PLAN CHECK FEE = $7441 <br />Efta <br />MISCELLANEOUS <br />TRANSFER FEE _ $20 <br />CONSULTATION FEE = $ 931 HOUR _. <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 93 1 HOUR <br />SAtV1PLING INSPECTION FEE $ 931 HOUR <br />mi l en -.%,% An= MdYT <br />RLL PCW AlK g4.�Y4IOs ee eee .yax aevv..r• e,r.. �. .®.s ..—.. �__�� <br />