Laserfiche WebLink
SAN JOAQUIN COUNTY � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.orIz/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Yellow Freight <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 1535 Pescadero Ave <br /> CITY STATE I ZIP CODE #OF TANKS AT SITE <br /> Tracy CA 95304 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Service Station Testing - SST INC Carl. Wayne Henderson <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> PO Box 31465 209 465-5577 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Stockton CA 1 95213 Closure Installation Repair Retrofit 5252923 L1T <br /> ACTIVE FACILITY <br /> 2004 2005 2006 2007 ! 2008 2009 <br /> $500 FEE INCLUDES FACILITY FEE+ 1 TANK(2003-2006) <br /> 5550 FEE INCLUDES FACILITY FEE+ 1 TANK(2009) <br /> $125 PER TANK AFTER FIRST TANK <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE=$15 1 TANK <br /> $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.00!FACILITY <br /> PERMANENT CLOSURE <br /> (Removal or Permitted Closure in Place <br /> TANK ID#(s) CLOSURE FEE=$315 1 TANK #TANKS X$315= <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID#(s). TEMPORARY CLOSURE FEE_$315/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s) PLAN CHECK FEE_$840/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK 10#(s) <br /> $366. $ <br /> TANK RETROFIT REPAIR FEE =$315 1 FACILITY (use for monitoring equipment,cold starts, EVR upgrades, <br /> spill buckets,sumps,mist.) 375.00 <br /> $366. $ <br /> PIPING REPAIR FEE _$315 f FACILITY (use for piping,under-dispenser containment,ect.) <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 <br /> $ <br /> CONSULTATION FEE = S 1051 HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $ 1051 HOUR <br /> SAMPLING INSPECTION FEE e S 105!HOUR <br /> ALL FEES ARE BASED ON THE$105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 02123109) <br />