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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH UEPARTME <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www._sjgov.or e <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />2 loa <br />QY1t' Rob <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />3 <br />o4 $30- cilqt <br />CITY <br />STATE ZIP CODE # OF TANKS AT SITE <br />/Ca <br />CA 53 -1 <br />APPLICANT BILLING NAME <br />TANK ID(s):OSURE <br />APPLICANT CONTACT NAME <br />QY1t' Rob <br />2005 <br />2006 <br />C&t Pta(( [2 - <br />APPLICANT MAILING <br />ADDRESS <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2004-2007) <br />APPLICANT PHONE # WITH AREA CODE <br />�((0 W 1 �� <br />3-r-10 <br />oq 3(o ( S <br />CITY <br />STATE <br />ZIP CODE <br />CIRCLE WORK TO BE DONE <br />CONTRACTORICC# <br />L <br />elm <br />R5ut 0 <br />Closure In lation R air Retrofit <br />N a l <br />ACTIVE FACILITY <br />TANK ID(s):OSURE <br />CL FEE _ $315 /TANK <br />2004 <br />2005 <br />2006 <br />2007 <br />2008 <br />2009 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2004-2007) <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ect. <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />SAMPLING INSPECTION FEE _ $ 105/ HOUR <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2,308-2009) <br />$ <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE = $15 / TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.00/ FACILITY <br />PER ANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID(s):OSURE <br />CL FEE _ $315 /TANK <br /># TANKS X $315 = <br />TEMPORARY CLOSURE <br />Plan Review and Ins ections <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $315 / FACILITY <br />INSTALLATION PLAN CHECK <br />Plan Check and Construction Inspections) <br />TANK ID # (s) : PLAN CHECK FEE = $840 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />TRANSFER FEE _ $ 20 <br />TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />spill buckets, sumps, misc.)�S• <br />CONSULTATION FEE _ $ 105/ HOUR <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ect. <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE _ $ 105/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />SAMPLING INSPECTION FEE _ $ 105/ HOUR <br />ALL FEES ARE BASED ON THE $105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />