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SAN JOAQUIN COUNTY =l' a�4au k--- <br /> ENVIRONMENTAL <br /> -- -ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205-6232 JUL 11 2016 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sicehd.com <br /> FACILITY NAME FACILITY CONTACT NAME - a.•t <br /> Vanco Truck&Atuo Plaza Mike <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 1033 W. Charter Way 466-0833 <br /> CITY STATE ZIP CODE --T#—OF TANKS AT SITE <br /> Stockton CA 95205 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Elite IV Contractors Kim White <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 2535 Wigwam Dr. 1 2091. 461-6337 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Otonkjnn Closure Installation Repair Retroft <br /> ACTIVE FACILITY <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK 2009 2010 2011 2012 2013 2014 <br /> $130 PER TANK AFTER FIRST TANK <br /> TANK PENALTY ASSESSED <br /> TANK SURCHARGE_$15/TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$35.001 FACILITY <br /> PERMANENTCLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID# s CLOSURE FEE_$3901 TANK #TANKS X$390= <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$390/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(a): PLAN CHECK FEE_$1040/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> TANK RETROFIT REPAIR FEE _$390/FACILITY (use for monitoring equipment,cold dads,EVR upgrades, 390.0 <br /> spill buckets,sumps,misc. <br /> PIPING REPAIR FEE_$390!FACILITY use for piping,under-dispenser containment,act.) <br /> MISCELLANEOUS <br /> TRANSFER FEE = $25 Expedited Fee's $195.00 <br /> CONSULTATION FEE = $1301 HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $1301 HOUR $ <br /> SAMPLING INSPECTION FEE _ $1301 HOUR $ + <br /> FEES ARE BASED ON THE$130 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE 1 $585.00 j <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY IO 1 AMOUNTRECEIVED I CHECK# I RECEIVED BY I DATE RECEIVED <br /> EH 23 032(REVISED 08-0416) <br />