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11 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigg—v.org/ehd <br />ehd <br />FACILITY NAME FACILITY CONTACT NAME <br />FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br />i to3 S - Ha <br />CITY I STATE ZIP CODE I # OF TANKS AT SITE <br />APPLICANT BILLING NAME <br />TANK ID # (a): <br />APPLICANT CONTACT NAME <br />F►ed1er Grote e <br />2004 <br />t l l qb hom <br />APPLICANT MAILING ADDRESS <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) <br />APPLICANT PHONE #WITH AREA CODE <br />$ <br />g <br />CITY <br />STATE <br />I ZIP CODE <br />CIRCLE WORK TO BE DONECONTRACTOR <br />ICC # <br />�� <br />�C� <br />Closure Installation Repai Retrofrt <br />$ <br />ACTIVE FACILITY <br />TANK ID # (a): <br />CLOSURE FEE = $294 / TANK <br />2003 <br />2004 <br />2005 2006 2007 2008 <br />TEMPORARY CLOSURE FEE = $294 / FACILITY <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) <br />CONSULTATION FEE _ $ 98/ HOUR <br />$ <br />PIPING REPAIR FEE = $294 / FACILITY use for 0'ng, under-dis2nser containment, ed. <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008) <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />$ <br />$ <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE = $15 / TANK <br />$ <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 # (a): <br />CLOSURE FEE = $294 / TANK <br /># TANKS X $294 = <br />TEMPORARY CLOSURE <br />Plan Review and Ins ions <br />TANK ID # (a): <br />TEMPORARY CLOSURE FEE = $294 / FACILITY <br />INSTALLATION PLAN CHECK <br />Plan Check and Construction Inspections) <br />TANK ID # (a): <br />PLAN CHECK FEE = $784 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (a): <br />$ <br />$ <br />TANK RETROFIT REPAIR FEE = $294 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />s 'II buckets sum misc. <br />CONSULTATION FEE _ $ 98/ HOUR <br />$ <br />PIPING REPAIR FEE = $294 / FACILITY use for 0'ng, under-dis2nser containment, ed. <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 98 / HOUR <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE _ $ 98/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 98 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 98/ HOUR <br />ALL FEES ARE BASED ON THE $98 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />