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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL,HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> Telephone: (209)468-3420 Fxv(209)468-3433 Web:www.sigov.or <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Walgreens Walter Hcoutt <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> Northeast corner of Farmington Rd and E Mariposa Rd 650 689-5073 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> Stockton CA 95205 1 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Farmington and Mariposa Development LLC Frank R. Poss <br /> APPLICANT MAILING ADDRESS APPLICANT PRONE#WITH AREA CODE <br /> 4703 Tidewater Avenue, Suite B 51J)434-9200 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> oaOand CA Closure installation Repair Retrofit <br /> ACTIVE FACILITY <br /> 2006 2007 2408 2009 2010 2011 <br /> $500 FEE INCLUDES FACILITY FEE+ 1 TANK(2006-2007) <br /> $550 FEE INCLUDES FACILITY FEE+ 1 TANK(2008.2011) <br /> $125 PER.TANK AFTER FIRST TANK $ <br /> TANK PENALTY ASSESSED <br /> TANK SURCHARGE=$15 1 TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$49.001 FACILITY <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID#(s): CLOSURE FEE=$375 1 TANK #TANKS X$375= $375 <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID#(s) : TEMPORARY CLOSURE FEE=$3751 FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s): PLAN CHECK FEE=$1,000 1 FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> TANK RETROFIT REPAIR FEE _$375 1 FACILITY (use for monitoring equipment,cold starts, EVR upgrades, <br /> spill buckets,sumps,misc. <br /> PIPING REPAIR FEE=$375 1 FACILITY (use for piping,under-dispenser containment,ect.) $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $25 $ <br /> CONSULTATION FEE = $1251 HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $ 125/HOUR <br /> SAMPLING INSPECTION FEE = $1251 HOUR <br /> ALL FEES ARE BASED ON THE$125 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $375 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIVED <br /> EH 23-032(REVISED o81117'E by ) <br />