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COMPLIANCE INFO_PRE 2019
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231180
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
5/5/2020 11:56:41 AM
Creation date
11/7/2018 7:09:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0231180
PE
2361
FACILITY_ID
FA0001143
FACILITY_NAME
UNIVERSITY OF THE PACIFIC
STREET_NUMBER
1081
Direction
W
STREET_NAME
MENDOCINO
STREET_TYPE
AVE
City
STOCKTON
Zip
95211
CURRENT_STATUS
02
SITE_LOCATION
1081 W MENDOCINO AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\M\MENDOCINO\1081\PR0231180\COMPLIANCE INFO 1986-2015.PDF
QuestysFileName
COMPLIANCE INFO 1986-2015
QuestysRecordDate
8/29/2017 6:32:42 PM
QuestysRecordID
3610705
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOADUIN COUNWeLIC HEALTH SERVICES - ENVIRONMENTAL HEASIVSION <br /> UNDERGROUND STORAGE TANK PROGRAM - FEE WORKSHEET <br /> S FACILITY SITE HAME FACILITY CONTACT NAME <br /> I U [A4 , ,2>,�t.?s <br /> T I SITE PHONE x with AREA CODE <br /> 'E FACILITY ADDRESS <br /> STATE //ZJIP CODE N of TANKS <br /> CITY 'v-,/ ,, /�^ <br /> \ I "[�Z( at SITE `-`"/!� I�LSu 104-6 <br /> PS-1-L) <br /> APPLICANT/S LING NAME APPLICANT CONTACT NAME <br /> I I APPLICANT PHONE N WITH AREA CODE <br /> C MAILING ADDRESS <br /> A e7_ ? <br /> f���/_ = <br /> O . l �l `f d <br /> N STATEI ZlP CODE TYPE of APPLICATION <br /> T C TY ` 7}'7 (Closure, Installation, etc.) <br /> TOTAL <br /> 1 1986 11987 1988 1989 1990 <br /> ANNUAL FACILITY FEE (Prior to January 1, 1991) = 5100.00 XXXX i XXXX xxxx XXX% XXXX S XXXXXXXX <br /> A <br /> C, XXXX I %XXX I XXXX I XXXX I xxxx S XX%xxxxx <br /> T FACILITY PENALTY f-c"c5 ASSES�(Iflicable)I 5170/TANK (After January 1, 1991) <br /> V TANK Fc=-E = 550.00/TANK January 1,1991) <br /> E1988 11989 1990 ; 1991 11992 11993 11994 1995 11996 11997 11998 <br /> Tanks = {{ <br /> AI eachtiply year applicable for <br /> xxxx I XXXX 'i x%XX xxxx IXXXx I I I I I I S <br /> C' S <br /> ITANK PENALTY FEES ASSESSED I %XXX I %XXX %XXX XXXX (XXXX <br /> L S <br /> I STATE SURCHARGE FOR NEW FACILITIES ONLY=818.50 <br /> T <br /> Y 4 Tanks_ x 58.00 1988 through 1993 (556) 7993 through 1997 (556) 1998 <br /> SURCHARGE FOR 1998 <br /> xxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxx S <br /> C� PERMANENT CLOSURE (Removal or Authorized CLosure-in-Place) I TANK I.D. +(s) <br /> L 9 TANK(s)_ x 5234.00 = S <br /> 0 CLOSURE FEE = 578.001hour (3 hours minimum/TANK) <br /> STANK 1.0. !(S) <br /> Ul TEMPORARY CLOSURE (Plan Review 8 Inspections) <br /> R S <br /> EI TEMPORARY CLOSURE FEE = 578.00/hour (3 hours minimum/FACILITY) I 5234.00 minimum <br /> PI INSTALLATION PLAN CHECK (PLan Review 3 Construction inspections) TANK I.O. X(S) <br /> L <br /> A = 5624.00 minimum S <br /> N PLAN CHECK FEE = 578.00/hour (8 hours minimum/FACILITY) <br /> IIREPAIR FEE (Workplan Review S Construction Inspections) I TANK I.J. (s) <br /> E A TANK(s) __ X 5234.00 = S <br /> P TANK LINING REPAIR FEE = 578.00/hour (3 hours minimum/TANK) <br /> A S Q <br /> ] TANK RETROFIT REPAIR FEE = S7 hour (3 hours min./FACILITY) - 5234.00 minimum <br /> R - 5234.00 mini mum S <br /> PIPING REPAIR FEE = 578.00/hour (3 hours minimum/FACILITY) - <br /> M <br /> c = 520.00 I I UNAUTHORIZED REL-EASE EVALUATION = 578.00/hr I S <br /> TRANSFER FEE <br /> I <br /> Sc = 578.00/hr I S <br /> C CONSULTATION FEE = 578.001hr I SAMPLING INSPECTION FEE <br /> TOTAL DUE 5 <br /> FOR OFFICE <br /> USE ONLY ._..........._.__.._........__._:.—.—_-:-_::_—::-::.—, : :::::_. -- :;�=::_ <br /> -:=t_:-=:::st-t==._.::::::-:__:_::ts:!-;: _ __s�-_CEIVED_::-::::::::: :—RECEIVED <br /> SWEEPS '. COMPUTER i LOC CODE DIST CODE AMOUNT RECEIVED CHECK �'./CASH I RECEIVE) 8Y DATE <br /> _ <br /> ::::::tai <br /> __._ __ .. <br /> EH 23 032 (REVISED 1-12-98) <br />
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