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• SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.or FACILITY NAME FACILITY CONTACT NAME Ripon Shell Mr. Angle FACILITY ADDRESS SITE PHONE # WITH AREA CODE 341 E Main St 209 943-3000 CITY STATE I ZIP CODE # OF TANKS AT SITE Ripon CA 95366 APPLICANT BILLING NAME APPLICANT CONTACT NAME APEC Carl Wayne Henderson APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE PO Box 55105 209 943-3000 CITY I STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # Stockton CA 1 95205 Closure Installation Repair Retrofit 5252923 -UT ACTIVE FACILITY TANK ID # (s): CLOSURE FEE = $315 / TANK 2004 2005 2006 2007 2008 2009 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2003-2008) $ PIPING REPAIR FEE = $315 / FACILITY (use for piping, under -dispenser containment, ect.) $ SAMPLING INSPECTION FEE _ $ 105/ HOUR $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 CHECK Check and TANK ID # (s) : I PLAN CHECK FEE = $840 / FACILITY REPAIR PLAN CHECK TANK ID # (s) : $ $366. $ TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, 366. spill buckets, sumps, misc.) $366. $ PIPING REPAIR FEE = $315 / FACILITY (use for piping, under -dispenser containment, ect.) 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.