COMPLIANCE INFO_2008-2018 - Laserfiche WebLink

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SAN JOAQUIN COUNTY EwiRoNmENTAL HEALTH DEPARTM 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s' ov.or ehd FACILITY NAME i FACILITY CONTACT NAME APPLICANT BILLING NAME APPLICANT CONTACT NAME APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE 2005 CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # APPLICANT BILLING NAME APPLICANT CONTACT NAME APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE 2005 CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # 2010 Closure Installation Repair Retrofit PIPING REPAIR FEE = $366 / FACILITY use for piping, under -dispenser containment, act. ACTIVE FACILITY TANK ID # (s) : 2005 2006 2007 2008 2009 2010 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2005-2007) PIPING REPAIR FEE = $366 / FACILITY use for piping, under -dispenser containment, act. UNAUTHORIZED RELEASE EVALUATION FEE = $ 122 / HOUR $ SAMPLING INSPECTION FEE _ $122/ HOUR $550 FEE INCLUDES FACILITY FEE + 1 TANK (2008-2010) $ $125 PER TANK AFTER FIRST TANK $ TANK PENALTY ASSESSED $ TANK SURCHARGE = $15 / TANK $ STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM =$49.00/ FACILITY 'NT CLOSURE or Permitted Closure in TANK ID # (s) : CLOSURE FEE= $366/ TANK 1 # TANKS X $366 = $ TEMPORARY CLOSURE ITANK ID # (s) : I TEMPORARY CLOSURE FEE = $366 / FACILITY i $ I and Construction TANK ID # (s) : PLAN CHECK FEE = $976 / FACILITY REPAIR PLAN CHECK TANK ID # (s) : $ $ TANK RETROFIT REPAIR FEE = $366 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, spill buckets, sumps, misc. CONSULTATION FEE _ $122/ HOUR $ PIPING REPAIR FEE = $366 / FACILITY use for piping, under -dispenser containment, act. UNAUTHORIZED RELEASE EVALUATION FEE = $ 122 / HOUR MISCELLANEOUS $ TRANSFER FEE _ $ 25 $ CONSULTATION FEE _ $122/ HOUR $ UNAUTHORIZED RELEASE EVALUATION FEE = $ 122 / HOUR $ SAMPLING INSPECTION FEE _ $122/ HOUR ALL FEES ARE BASED ON ► HE $izz HuukLY RASE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT.