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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIv- <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fox:(209)468-3433 Web:www.sigov.org/ehd <br /> FAq.ItITY NAME FACILITY CONTACT NAME <br /> FAC DIDWESS SITE HONE#WITHAFE C DE <br /> 9 <br /> 3 ( 7� <br /> CITY S ATE ZIP CODE #OF TANKS AT SITE <br /> 6MOCA <br /> APPLICANT BILLING NAME I APPLIC T CONTACT NAME <br /> APPLICANT MAI G ADDR SS APPLI N PHONE#WITH AREA CODE <br /> CITY STATE IP CODE CIRCLE WOR TO BE DONE CONTRACTOR ICC# <br /> I Closure Installation Repair Retrofit <br /> ACTIVE FACILITY <br /> 2002 2003 2004 2005 2006 2007 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2002-2007) <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2008&New <br /> Installs,as of 8/1/07) $ <br /> $125 PER TANK AFTER FIRST TANK <br /> TA NK PENALTY ASSESSED $ <br /> TANK SURCHARGE=$15/TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.00/FACILITY $ <br /> PERMANENTCLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID# s CLOSURE FEE_$294/TANK #TANKS X$294= $ <br /> - ——TEMPORARY CLOSURE- <br /> Plan Review and Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$294/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Ian Check and Construction Inspections) <br /> TANK ID#(a): PLAN CHECK FEE_$784/FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID#(a): <br /> TANK RETROFIT REPAIR FEE =$294/FACILITY (use for monitoring equipment spill buckets,tank sumps,misc. $ <br /> PIPING REPAIR FEE =$294/FACILITY use for piping,under-dispenser containment,ect.) $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 $ <br /> CONSULTATION FEE = $98/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $981 HOUR $ <br /> SAMPLING INSPECTION FEE _ $98/HOUR $ <br /> ALL FEES ARE BASED ON THE$98 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# I FACILITY ID AMOUNT RECEIVED CHECK# I <br /> RECEIVED BY DATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 011B/071 <br />