Laserfiche WebLink
R=� <br />SWM <br />SAN JOAQUIN COUNTY $ l <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s'ce K . <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />Quick Shop <br />Pete <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />2072 W Yosemite Ave <br />209 345-1689 <br />CITY <br />-TAT E ZJP CODE <br /># OF TANKS AT SITE <br />Manteca <br />CA 95337 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Elite IV Contractors <br />Megan Mitchell <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />2535 Wigwam Dr <br />61-6337 <br />CITY <br />STATE <br />ZIP CODE CIRCLE WORK TO BE DONE <br />GONTRACTOR ICC # <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under-disp2nser containment, ect. <br />Closure Installation Repair Retrofit <br />$ <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $390 / TANK <br />2010 <br />2011 <br />2012 <br />2013 <br />2014 <br />2015 <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK <br />$ <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under-disp2nser containment, ect. <br />$ <br />1 <br />$130 PER TANK AFTER FIRST TANK <br />$ <br />$ <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE = $151 TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$35.00/ FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Placa <br />TANK ID # (s): <br />CLOSURE FEE = $390 / TANK <br /># TANKS X $390 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $390 / FACILITY <br />Check <br />:flir.P.� <br />CHECK FEE = $10401 <br />REPAIR PLAN CHECK <br />TANK ID # (s) <br />$ <br />TRANSFER FEE _ $ 25 <br />$ <br />TANK RETROFIT REPAIR FEE = $390 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />417.00 <br />spjIl buckets, sumps, misc. <br />$ <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under-disp2nser containment, ect. <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $ 25 <br />$ <br />CONSULTATION FEE = $ 130/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $130 /HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 130/ HOUR <br />FEES ARE BASED ON THE $130 HOURLY RATE. TIME THAI EXCEEDS FEES PAID WILL BE BILLED a v mr-P&A.Am r, <br />TOTAL AMOUNT DUE $ 417.0 <br />