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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT RECEIVED 600 East Main Street, Stockton, CA 95202-3029 Telephone. (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd APPLICANT BILLING NAME INSTALLATION PLAN CHECK Plan Check and Construction Inspections) APPLICANT • 2006 r 2008 �z APPLICANT MAILING ADDRESS 2011 APPLICANT PHONE # WITH AREA CODE $ PIPING REPAIR FEE = $375 / FACILITY use for piping, under -dispenser containment, ect. UNAUTHORIZED RELEASE EVALUATION FEE = $ 125 / HOUR $ SAMPLING INSPECTION FEE = $ 125/ HOUR • . « : « • • • R'M�W ACTIVE FACILITY INSTALLATION PLAN CHECK Plan Check and Construction Inspections) TANK ID # (s) 2006 2007 2008 2009 2010 2011 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2006-2007) $ PIPING REPAIR FEE = $375 / FACILITY use for piping, under -dispenser containment, ect. UNAUTHORIZED RELEASE EVALUATION FEE = $ 125 / HOUR $ SAMPLING INSPECTION FEE = $ 125/ HOUR $550 FEE INCLUDES FACILITY FEE + 1 TANK (2008-2011) $ $125 PER TANK AFTER FIRST TANK $ TANK PENALTY ASSESSED $ TANK SURCHARGE = $151 TANK $ STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49.00/ FACILITY PERMANENT CLOSURE Removal or Permitted Closure in Place TANK ID # Ls): CLOSURE FEE = $375 / TANK # TANKS X $375 = TEMPORARY CLOSURE Plan Review and Inspections) $ TANK ID # (s) : TEMPORARY CLOSURE FEE = $3751 FACILITY REPAIR PLAN CHECK INSTALLATION PLAN CHECK Plan Check and Construction Inspections) TANK ID # (s) TANK ID # (s) : I PLAN CHECK FEE = $1,000 / FACILITY $ REPAIR PLAN CHECK TANK ID # (s) $ TRANSFER FEE _ $ 25 TANK RETROFIT REPAIR FEE = $375 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, spill buckets, sumps, misc. CONSULTATION FEE = $ 125/ HOUR $ PIPING REPAIR FEE = $375 / FACILITY use for piping, under -dispenser containment, ect. UNAUTHORIZED RELEASE EVALUATION FEE = $ 125 / HOUR MISCELLANEOUS $ TRANSFER FEE _ $ 25 $ CONSULTATION FEE = $ 125/ HOUR $ UNAUTHORIZED RELEASE EVALUATION FEE = $ 125 / HOUR $ SAMPLING INSPECTION FEE = $ 125/ HOUR ALL FEES ARE BASED ON THE $125 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. OFFICE USE ONLY EH 23 032 (REVISED 0811111 by KF)