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p SAN JOAOUIN COUNTY Y <br /> ENVIR®NMENTAL L <br /> HEALTH EP T N. <br /> 600 East Main.Street,Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 F=(209)468-3433 Web.www.tgov.org/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> San Joaquin General Hospital JamesKari <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 500 W. Hospital. Rod 209 468-6166 <br /> CITY STATE ZIP CODE OF TANKS AT SITE <br /> French Camp 95231 1 <br /> APPLICANT BILLING ME APPLICANT CONTACT NAME <br /> Bagley Etiterprises,. Inc. Jesse _Berumen <br /> APPLICANT MAILING ADDRESS _ APPLICANT PHONE#WWTH AREA CODE <br /> 2370 Maggio Circle, 1 209 367-4800 <br /> CITY STATE I ZIP CODE CIRCLE WORKTo BE DORE CONTRACTOR ICC# <br /> Lodi CA 95240 closure I H t;.n Repsir Retrofit 8014628 <br /> ACTIVE FACILITY <br /> 2003 2004 2005 2006 2007 2008 <br /> FEE INCLUDES FACILITY FEE+1 TANK( -2007) <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2008) $ <br /> $125 PER TANK AFTER FIRST TANK <br /> TANK PENALTY ASSESSED <br /> $ <br /> TANK SURCHARGE=$15/TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.001 FACILITY <br /> PERMANENTCLOSUIRE <br /> Removal or PerrrAled Closure in Places <br /> TANK ID# s FICLOSURE FEE=$3151 TANK #TANKS X$315= <br /> TEMPORARY CLOSURE <br /> Pian Review and Ins coons <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$315/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Pian Check and Construction Inspeco# ns <br /> TANK ID#(s): PLAN CHECK FEE_$8401 FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> TANK RETROFIT REPAIR FEE _$3151 FACILITY (use for monitoring equipment,cold starts,EVR upgrades, <br /> spill buckets,sur <br /> PIPING REPAIR FEE _$315/FACILITY use for piping,under-dispenser cordainn nt,ed.) $315.00 <br /> MISCELLANEOUS <br /> $ <br /> TRANSFER FEE _ $20 <br /> CONSULTATION FEE = $105/HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $1051 HOUR <br /> SAMPLING INSPECTION FEE _ $1051 HOUR <br /> ALL FEES ARE BASED ON THE$106 HOURLY RAM TOM THAT EXCEEDS FEES PAID iNILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> RE FACT U K BY DATE <br /> SR <br /> EH 23 W2 REMW 711 <br />