Laserfiche WebLink
SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH OIVSION <br />UNDID STORAGE TANK PROGRAM - FEE WORKSHEET _ <br />19 <br />S <br />FACILITY SITE NAME <br />FACILITY CONTACT NAME <br />I <br />Wal-Mart Store <br />Jim Karel <br />5 <br />1986 1987 1988 1989 1990 <br />T <br />E <br />FACILITY ADDRESS <br />SITE PHONE 5 with AREA CODE <br />5 <br />3010 Grant Line RSR. Tracy, CA 95376 <br />Unknown <br />TEMPORARY CLOSURE FEE a 578.00/hour (3 hours minimum/FACILITY) _ !234.00 minimum <br />____[STATE <br />PIPING REPAIR FEE = S78.00/hour (3 hours minimum/FACILITY) = 5234.00 minimum <br />s <br />C <br />T <br />FACILITY PENALTY FEES ASSESSED (If Applicable) <br />CITY <br />XXXX XXb( <br />ZIP CODE <br />! of TANKS <br />1 <br />A <br />$170/TANK (After January 1, 1991) <br />E <br />at SITE <br />1986 1987 1988 1989 <br />1990 1991 1992 1993 1994 1995 1996 <br />F <br />(multiply 0 by fee for <br />P <br />P <br />APPLICANT/BILLtN* MAMN <br />APPLICANT CONTACT NAM$ <br />L <br />Tom Hopkins Construction <br />Randy Craven <br />I <br />C <br />MAILING ADDRESS <br />APPLICANT PHONE * WITH AREA CODE <br />A <br />505 River St., PO Box 1888 <br />(209) 833-3741 <br />)XXX XXXX <br />5 <br />N <br />T <br />CITY <br />ST E ZIP CODE TYPE of APPLICATION Installation <br />Santa Cruz <br />CSP 95061-18 $closure, Installation, etc.) <br />C <br />PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) TANK T.D. *(s) <br />TANK I.D. 0(s) <br />TOTAL <br />L <br />0 <br />CLOSURE FEE = $78.00/hour (3 hours minimum/TANK) 0 TANK(s) X $234.00 = <br />5 <br />1986 1987 1988 1989 1990 <br />A <br />N <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br />TEMPORARY CLOSURE (Plan Review b Inspections) TANK I.D. #(s) <br />5 <br />A <br />TEMPORARY CLOSURE FEE a 578.00/hour (3 hours minimum/FACILITY) _ !234.00 minimum <br />5 <br />PIPING REPAIR FEE = S78.00/hour (3 hours minimum/FACILITY) = 5234.00 minimum <br />s <br />C <br />T <br />FACILITY PENALTY FEES ASSESSED (If Applicable) <br />XXXX XXb( <br />5 <br />V <br />TANK FEE = S50.00/TANK (Prior to January 1,1991) <br />$170/TANK (After January 1, 1991) <br />E <br />0 Tanks = 1 <br />1986 1987 1988 1989 <br />1990 1991 1992 1993 1994 1995 1996 <br />F <br />(multiply 0 by fee for <br />S 170.00 <br />A <br />each year applicable) <br />C <br />I <br />TANK PENALTY FEES ASSESSED <br />)XXX XXXX <br />5 <br />L <br />I <br />STATE SURCHARGE = s56.00 each TANK (Due every 5 years) <br />See California H & S Code, Section 25287 <br />T <br />Y <br />0 Tonks_,aL_ x (56.00 <br />1986 through 1990 <br />1991 through 1996 <br />(Enter amount and year) <br />56.00 <br />s 56.00 <br />C <br />PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) TANK T.D. *(s) <br />TANK I.D. 0(s) <br />L <br />0 <br />CLOSURE FEE = $78.00/hour (3 hours minimum/TANK) 0 TANK(s) X $234.00 = <br />5 <br />A <br />N <br />S <br />U <br />TEMPORARY CLOSURE (Plan Review b Inspections) TANK I.D. #(s) <br />5 <br />R <br />E <br />TEMPORARY CLOSURE FEE a 578.00/hour (3 hours minimum/FACILITY) _ !234.00 minimum <br />5 <br />P <br />INSTALLATION PLAN CHECK (Plan Review & Construction Inspections) <br />TANK I.D. 0(s) <br />E <br />P <br />TANK LINING REPAIR FEE = 578.00/hour (3 hours minimum/TANK) N TANK(s) X 5234.00 = <br />L <br />A <br />N <br />PLAN CHECK FEE = 578.00/hour (8 hours mini&WFACILITY) = 1624.00 minimum <br />5 624.00 <br />R <br />REPAIR FEE (Workplan Review & Construction Inspections) TANK I.D. 0(s) <br />E <br />P <br />TANK LINING REPAIR FEE = 578.00/hour (3 hours minimum/TANK) N TANK(s) X 5234.00 = <br />s <br />A <br />I <br />TANK RETROFIT REPAIR FEE = 578.00/hour (3 hours min./FACILITY) _ $234.00 minimum <br />5 <br />R <br />PIPING REPAIR FEE = S78.00/hour (3 hours minimum/FACILITY) = 5234.00 minimum <br />S <br />EH 23 032 (REVISED 3-1-931 <br />