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SITE HISTORY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILSON
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2662
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3500 - Local Oversight Program
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PR0545898
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SITE HISTORY
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Last modified
7/22/2020 3:41:50 PM
Creation date
7/22/2020 3:21:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545898
PE
3528
FACILITY_ID
FA0005555
FACILITY_NAME
MALIK ALL TIRES WHEEL
STREET_NUMBER
2662
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11706033
CURRENT_STATUS
02
SITE_LOCATION
2662 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Q"s% -,'tAuu l Iv LOCAL HEALTH DIS—'?ICT <br /> U`"%RGROUND STORAGE TANK PROGRAM - FEE WORKSHEET``"'\ <br /> A FACILITY/SITE NAME FACILITY CONTACT NAME <br /> C ` S (L <br /> I <br /> L STREET ADDRESS SITE PHONE # WITH AREA COOK <br /> I � S rl <br /> T ` <br /> Y CITY STAT fiP CODE # of Tanks <br /> 9 Sapp at Site 1 Rr\ #3 <br /> A APPLICANT/BILLING NAME APPLICANT CONTACT NAME <br /> P <br /> P <br /> L <br /> I MAILING ADDRESS APPLICANT PHONE # WITH ARK^ CODE <br /> C <br /> A <br /> N CITY STAT ZIP CODETYPE of APPLICATION <br /> T CLOSURE, INSTALLATION. ETC. <br /> A FACILITY FEE = $100.00 each SITE ADDRESS per YEAR TOTAL <br /> C 1986 1987 1988 1989 <br /> T <br /> V $--�-- <br /> E TANK FEE _ $50.00 each TANK <br /> F # Tanksf _ x $50.00 1986 1987 1988 1989 <br /> A (multipry-IF by fee for <br /> I each year applicable) O 5 S O ; <br /> L STATE SURCHARGE = $56.00 each TANK (see CA HEALTH t SAFETY CODE Sec 25287 for applicability) <br /> I <br /> T # Tanks 1 x $56.00 1986 1987 1988 1989 <br /> Y (enter mount and year) / <br /> �o $ <br /> C PERMANENT CLOSURE (Removal or Closure-in-place) <br /> L <br /> 0 CLOSURE FEE = $90.00 each TANK # Tanksx $90.00 <br /> S __ <br /> U <br /> Ir— <br /> RMPRARY CLOSURE (Only alloyed one time for up to two years) RECEIVED <br /> E <br /> TEMPORARY CLOSURE FEE = $80.00 each TANK <br /> P PLAN CHECK (Installation or Repair) N <br /> L114 <br /> A PERMIT/SERVICES <br /> N PLAN CHECK FEE = $30.00 each SUBMISSION/RESUBMISSION $ <br /> REPAIR <br /> R TANK REPAIR FEE = $110.00 each TANK # Tanks x $110.00 f � <br /> E <br /> A PIPING REPAIR/CLOSURE/REMOVAL (Fees are per hour, minimum one hour to be paid on plan submittal) <br /> I <br /> R UNAUTHORIZED RELEASE EVALUATION CONSTRUCTION INSPECTION SAMPLING INSPECTION <br /> (when applicable) (when applicable) (when applicable) <br /> FEE _ $30.00/hr FEE _ $35.00/hr FEE _ $35.00/hr $ <br /> TOTAL DUE <br /> OFFICE USE ONLY <br /> SWEEPS # COMP # LOC COD$ DIST CODE AMOUNT DUE AMOUNT RCVD CHECK #/CASH RCVD BY DATE RECEIVED PERMIT # <br /> 42 > 2010Zo ,� Co�r�S J3 E <br /> n <br />
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