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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME <br /> 1868 E. Hazelton Ave., Stockton,CA 95205-62 2 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Verizon Lodi CA Dennis Gritsko <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 2500 West Turner Road 916 205-9291 <br /> CITY STATE ZIP CODE I #OF TANKS AT SITE <br /> Lodi CA 95242 1One <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> SunWest Engineering Constructors, Inc. Pamela E. Lawrence <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 4780 Cheyenne Way 909 594-9830 ext. 7014 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> ln0 Closure Installation Repair etrofit 000053078 <br /> ACTIVE FACILITY <br /> 2008 2009 2010 2011 2012 2013 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2007-2008) <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2009-2012) $ 0.00 <br /> $125 PER TANK AFTER FIRST TANK <br /> $ 0.00 <br /> TANK PENALTY ASSESSED <br /> TANK SURCHARGE=$151 TANK $ 0.00 <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$35.001 FACILITY $ 0.00 <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place N/A <br /> TANK ID# s CLOSURE FEE=$375/TANK #TANKS X $375= $ 0 00 <br /> TEMPORARY CLOSURE NIA <br /> Plan Review and Ins ections <br /> $ 0.00 <br /> TANK ID#(s) : TEMPORARY CLOSURE FEE=$375/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s) PLAN CHECK FEE=$1004/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s) : <br /> TANK RETROFIT REPAIR FEE =$375/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, $375.00 <br /> spill buckets,sumps,mist. <br /> $ 0.00 <br /> PIPING REPAIR FEE =$375/FACILITY (use for piping,under-dispenser containment,ect.) <br /> MISCELLANEOUS N/A <br /> TRANSFER FEE _ $25 $ 0.00 <br /> CONSULTATION FEE = $125/HOUR $ 0.00 <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $125/HOUR $ 0.00 <br /> SAMPLING INSPECTION FEE = $1251 HOUR $ 0.00 <br /> ALL FEES ARE BASED ON THE$125 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $375.00 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIVED <br /> EH 23 032(REVISED 11165/2013 by KF1 <br />