COMPLIANCE INFO_2002-2015 - Laserfiche WebLink

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0 SAN JOAQUIN COUNTY 10 ENVIRONMENTAL HEALTH DEPARTMENT 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 Telephone: (209) 468-3420 Fax (5`" floor): (209) 468-3433 Web: www.s gov.or&/ehd FACILITY NAME TANK ID # (s): FACILITY CONTACT NAME 2000 Col 2002 FACILITY ADDRESS 2004 SITE PHONE # WITH AREA CODE LSS-Ot CITY L STATE ZIP CCDE I # OF TANK AT SITE $125 PER TANK AFTER FIRST TANK CA APPLICANT ENOMW NAME TANK ID # (s): APPLICANT CONTACT NAME 2000 Col 2002 PLICANT MAILING ADDRESS 2004 APPLICANT PHONE # WITH AREA CODE $500 FEE INCLUDES FACILITY FEE + 1 TANK CITY STATE ZIP CODE CIRCLE W09K TO ONE CONTRACTOR ICC # SAMPLING INSPECTION FEE _ $ 93/ HOUR $125 PER TANK AFTER FIRST TANK Closure Installa n Re a' etrofit 15 -5L>ttf M ACTIVE FACILITY TANK ID # (s): CLOSURE FEE = $279 / TANK 2000 2001 2002 2003 2004 2005 $500 FEE INCLUDES FACILITY FEE + 1 TANK UNAUTHORIZED RELEASE EVALUATION FEE = $ 93 / HOUR SAMPLING INSPECTION FEE _ $ 93/ HOUR $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 = $279 / TANK # TANKS X $279 = TEMPORARY CLOSURE Plan Review and Inspections) TANK ID # (s) : TEMPORARY CLOSURE FEE = $279 / FACILITY INSTALLATION PLAN CHECK TANK ID#(s): PLAN CHECK FEE = $744 / FACILITY REPAIR PLAN CHECK TANK ID # (s): TANK RETROFIT REPAIR FEE = $279 / FACILITY use for monitoring equipment, s ill buckets, tank sumps, misc.) PIPING REPAIR FEE = $279 / FACILITY use for piping, under -dispenser containment, ect. MISCELLANEOUS TRANSFER FEE _ $ 20 CONSULTATION FEE _ $ 93/ HOUR UNAUTHORIZED RELEASE EVALUATION FEE = $ 93 / HOUR SAMPLING INSPECTION FEE _ $ 93/ HOUR ALL FEES ARE BASED ON THE $93 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. OFFICE USE ONLY EH 23 032 (REVISED 02/22/06)