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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 Fax: (209) 468-3433 Web: www.SIRov.ore/ehd <br />FACILITY NAME <br />ACTIVE FACILITY <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2003-2008) <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2009) <br />$125 PER TANK AFTER FIRST TANK <br />2004 <br />2005 <br />06007 <br />TEMPORARY CLOSURE FEE = $315 / FACILITY <br />2008 <br />2009 <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.00/ FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s):CLOSURE FEE _ $315 /TANK # TANKS X $315 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $315 / FACILITY <br />INSTALLATION PLAN CHECK <br />(Plan Check and Construction Ir <br />PLAN CHECK FEE = $840 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />spill buckets, sumps, misc. <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ect <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE _ $ 105/ HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />SAMPLING INSPECTION FEE = $ 105/ HOUR <br />ALL FEES ARE BASED ON THE 5105 HOURI Y BATF TGIF THAT —rrrn <br />S FEES PAID WILL BE BILLED TO APPLICANT. <br />OFFICE USE ONLY <br />345 <br />$ <br />SERVICE REQUEST N FACILITY ID AMOUNT RECEIVED CHECK N RECEIVED BY DATE RECEIVED <br />SR <br />EH 23 032 (REVISED 02123/09) <br />