Laserfiche WebLink
• SAN JOAQUIN COUNTY • RECEIVED <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205-6232 JAN 0 5 2017 <br /> Telephone.(209)468-3420 Fax:(209)468-3433 Web:www.secehd.com <br /> FACILITY NAME FACILITY CONTACT NAME LTH <br /> Tesoro#68154 c <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 2500 W. Lodi Avenue 209 ) 366-0703 <br /> CITY I STATE ZIP CODEF#—OF TANKS AT SITE <br /> Lodi CA 95242 14 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Walton Engineering Inc. Michael Walton <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> P. O. Box 1025 916 373-1152 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE I CONTRACTOR ICC# <br /> eS acramen o Closure Installation Repair Retrofit <br /> ACTIVE FACILITY <br /> (As of 8/1/16) $583 FACILITY FEE+$139 PER TANK 2011 2012 2013 2014 2015 1 2016 <br /> Facility Fee NO LONGER INCLUDES FIRST TANK <br /> (2011-Aug 1,2016)$550 FEE INCLUDES FACILITY FEE+1 TANK $ <br /> $130 PER TANK AFTER FIRST TANK <br /> $ <br /> TANK PENALTY ASSESSED <br /> $ <br /> TANK SURCHARGE=$15/TANK <br /> $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$35.00/FACILITY <br /> PERMANENTCLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID# s CLOSURE FEE=$4171 TANK #TANKSX$417= <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> $ <br /> TANK ID#(s): TEMPORARY CLOSURE FEE=$417/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Ins actions <br /> $ <br /> TANK ID#(s): PLAN CHECK FEE=$1112/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> $ <br /> TANK RETROFIT REPAIR FEE =$417/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, 417 <br /> spill buckets,sumps,misc. <br /> $ <br /> PIPING REPAIR FEE=$417/FACILITY use for piping,under-dispenser containment,act. <br /> MISCELLANEOUS <br /> TRANSFER FEE = $25 $ <br /> CONSULTATION FEE = $139/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $1391 HOUR $ <br /> SAMPLING INSPECTION FEE = $139/HOUR $ <br /> FEES ARE BASED ON THE$139 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE 1 $4 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# I FACILITY ID AMOUNTRECENED I CHECK# I RECEIVED BY I DATE RECEIVED <br /> EH 23 032(REVISED 07-15-2016) <br />