COMPLIANCE INFO_2006 - 2008 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY UEC Q 7 2007 ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 ENVIRONMENT HEALTH Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sl og v.or /e�hd PERMIT/SERVICES FACILITY NAME FACILITY CONTACT NAME APPLICANT CONTACT NAME —b7 �� )Cfl FACILITY ADDRESS SITE PHONE # WITH AREA CODE ) D 6 ✓i %qt+ 'W)& c)09 q55 - 4,D6 CITY STATE ZIP CODE # OF TANKS AT SITE S� k CA 9 STATE APPLICANT BILLING NAME TANK ID # s APPLICANT CONTACT NAME —b7 �� )Cfl eL fv. A'A Qk16 � Ur\ APPLICANT MAILING ADDRESS 2006 APPLICANT PHONE # WITH AREA CODE $500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) 1�Ito —43ED CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # NKkg,t $550 FEE INCLUDES FACILITY FEE + 1 TANK (2008 & New Installs as of 8/1/07) G5Loq Closure Installationepair etrofit ACTIVE FACILITY TANK ID # s CLOSURE FEE = $294 / TANK 2002 2003 2004 2005 2006 2007 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) UNAUTHORIZED RELEASE EVALUATION FEE = $ 98 / HOUR $ SAMPLING INSPECTION FEE = $ 98/ HOUR $550 FEE INCLUDES FACILITY FEE + 1 TANK (2008 & New Installs as of 8/1/07) $ $125 PER TANK AFTER FIRST TANK $ TANK PENALTY ASSESSED TANK SURCHARGE = $15 / TANK STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.00/ FACILITY PERMANENT CLOSURE Removal or Permitted Closure in Place TANK ID # s CLOSURE FEE = $294 / TANK # TANKS X $294 = TEMPORARY CLOSURE Plan Review and Inspections) TANK ID# (s) : TEMPORARY CLOSURE FEE = $294 / FACILITY kLLATION PLAN CHECK Check and Construction Ir TANK ID # (s) : I PLAN CHECK FEE = $784 / FACILITY REPAIR PLAN CHECK FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY TANK ID# (s): $ TANK RETROFIT REPAIR FEE = $294 / FACILITY use for monitoring equipment, s ill buckets, tank sumps, misc.) PIPING REPAIR FEE = $294 / FACILITY (use for piping, under -dispenser containment, ect.) $ MISCELLANEOUS FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED $ TRANSFER FEE _ $ 20 $ CONSULTATION FEE _ $ 98/ HOUR UNAUTHORIZED RELEASE EVALUATION FEE = $ 98 / HOUR $ SAMPLING INSPECTION FEE = $ 98/ HOUR ALL FEES ARE BASED ON THE $98 HOURLY RATE. TIME THAT EXCEEUS FEES FAlu Wiuu BE BILLED TO A� OFFICE USE ONLY SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED SR EH 23 032 (REVISED 08/3/07)