COMPLIANCE INFO 2007-2012 - Laserfiche WebLink

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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street,Stockton,CA 95202-3029 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.s' oy.or hhd FACILITY NAME FACILITY CONTACT NAME US Gasoline FACILITY ADDRESS SITE PHONE#WITH AREA CODE 749 E i(Formerly Charter Way) 209 465-8979 CITY STATE ZIP CODE #OF TANKS AT SITE Stockton CA 95206 APPLICANT BILLING NAME APPLICANT CONTACT NAME HMC - Henderson Maintenance Company Carl Wayne Henderson APPLICANT MAILING ADDRESS APPLICANT PHONE#WETH AREA CODE PO Box 31325 209 467-7573 GITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC Stockton CA 95213 Closure Installation Repair Retrofit 5252923-UT ACTIVE FACILITY 2004 2005 2006 2007 2008 2009 $500 FEE INCLUDES FACILITY FEE+ 1 TANK(2003-2008) $550 FEE INCLUDES FACILITY FEE+ 1 TANK(2009) $ $125 PER TANK AFTER FIRST TANK TANK PENALTY ASSESSED $ TANK SURCHARGE=$15 1 TANK $ STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.001 FACILITY PERMANENTCLOSURE Removal or Permitted Closure in Place �TANK TANK ID# s CLOSURE FEE=$315 #TANKS X�$315 TEMPORARY CLOSURE Plan Review and Ins ections $ TANK ID#(s): TEMPORARY CLOSURE FEE=$315 I FACILITY INSTALLATION PLAN CHECK Plan Check and Construction Inspections) $ TANK ID#(s): PLAN CHECK FEE=$840 1 FACILITY REPAIR PLAN CHECK TANK ID#(s) $345. TANK RETROFIT REPAIR FEE =$315 1 FACILITY (use for monitoring equipment,cold starts, EVR upgrades, 345.00 spill buckets,sumps,misc. $345. $ PIPING REPAIR FEE _$315 1 FACILITY use for pi Ing,under-dispenser containment,ect.) MISCELLANEOUS $ TRANSFER FEE = $20 $ CONSULTATION FEE = $1051 HOUR $ UNAUTHORIZED RELEASE EVALUATION FEE = $1051 HOUR $ SAMPLING INSPECTION FEE = $1051 HOUR ALL FEES ARE BASED ON THE$705 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT, OFFICE USE ONLY SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVEQ ICY DATE RECEIVED SR EH 23 032(REVISED 02123109)