COMPLIANCE INFO_2009-2012 - Laserfiche WebLink

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SAN JOAQUIN COUNTY 01 ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sj og v.or ehd FACILITY NAME FACILITY CONTACT NAME t�OI.0 LU % c -Joe, 0 qL . b FACILITY ADDRESS SITE PHONE # WITH AREA CODE V.0 01) -'1.0 CITY STATE ZIP CODE # OF TANKS AT SITE CIRCLE WORK TO BE DONE CA `? APPLICANT BILLING NAME APPLICANT CONTACT NAME CLOSURE FEE = $315 / TANK 2004 APPLICANT MAILING ADDRESS APPLICANT P14ONE # WITH AREA CODE 2007 - cit CITY I STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # ScLv� I &A Wt c Closure Installation QJa air Retrofit 1-'-1 q' --z — -k ACTIVE FACILITY TANK ID # s : CLOSURE FEE = $315 / TANK 2004 2005 2006 2007 2008 2009 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2003-2008) $ UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR $ 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 Ins ections TANK ID # (s) : TEMPORARY CLOSURE FEE = $315 / FACILITY TION PLAN TANK ID # (s) : PLAN CHECK FEE = $840 / FACILITY REPAIR PLAN CHECK TANK ID # (s) : TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, spill buckets, sumps, misc. PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ect. MISCELLANEOUS A F $ TRANSFER FEE _ $ 20 $ CONSULTATION FEE = $ 105/ HOUR $ UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR $ SAMPLING INSPECTION FEE _ $ 105/ HOUR LL EES ARE BASED ON THE 5105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT.