COMPLIANCE INFO_2008-2011 - Laserfiche WebLink

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` f ' SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street,Stockton,CA 95202-3029 Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sigov.org/ehd FACILITY NAME FACILITY CONTACT NAME CRLLC # 2705447 FACILITY ADDRESS SITE PHONE#WITH AREA CODE 3202 W. hammer Ln CITY STATE I ZIP CODE #OF TANKS AT SITE Stockton CA 1 95209 three APPLICANT BILLING NAME APPLICANT CONTACT NAME Walton Engineering, Inc. APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE P.O. Box 1025 916 373-1152 CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# Stockton CA 95691 Closure Installation Repair Retrofit See attached ACTIVE FACILITY $500 FEE INCLUDES FACILITY FEE+1 TANK(2003-2008) 2004 2005 2006 2007 2008 1 2009 $550 FEE INCLUDES FACILITY FEE+1 TANK(2009) $ $125 PER TANK AFTER FIRST TANK TANK PENALTY ASSESSED $ TANK SURCHARGE=$15/TANK $ STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.00/FACILITY PERMANENT CLOSURE Removal or Permitted Closure in Place TANK ID#(s): CLOSURE FEE=$315/TANK #TANKS X$315= $ TEMPORARY CLOSURE Plan Review and Inspections) TANK ID#(s): TEMPORARY CLOSURE FEE=$315/FACILITY INSTALLATION PLAN CHECK Plan Check and Construction Inspections) TANK ID#(s): PLAN CHECK FEE=$840/FACILITY REPAIR PLAN CHECK TANK ID#(s): TANK RETROFIT REPAIR FEE =$315/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, spill buckets,sumps,misc. PIPING REPAIR FEE _$315/FACILITY use for piping,under-dispenser containment,ect. $366.01) MISCELLANEOUS TRANSFER FEE _ $20 $ CONSULTATION FEE = $105/HOUR $ UNAUTHORIZED RELEASE EVALUATION FEE = $105/HOUR $ SAMPLING INSPECTION FEE = $105/HOUR $ ALL FEES ARE BASED ON THE$105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. OFFICE USE ONLY SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIVED SR EH 23 032(REVISED 02/23/09)