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SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> w Greatness grows here . <br /> FACILITY NAME S eedwa #4681 FACILITY CONTACT NAME <br /> FACILITY ADDRESS 2500 W. Lo i Avenue SITE PHONE # WITH AREA CODE <br /> CITY Lodi STATE ZIP CODE # OF TANKS AT SITE <br /> CA 1 95242 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Walton Engineering, Inc. KristinNappen <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> P . O . Box 1025 916 373 - 1165 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> West Sacramento CA 95691 1 Closure Installation Repair Retrofit <br /> ACTIVE FACILITY <br /> UST FEES = $641 Facility Fee + $ 152 Per Tank 2012 2013 2014 2015 2016 2017 <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE = $20 / TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49.00/ FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID # (s) : CLOSURE FEE _ $456 / TANK I # TANKS X $456 = $ <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID # (s) : TEMPORARY CLOSURE FEE _ $456 / FACILITY 7 <br /> INSTALLATION PLAN CHECK <br /> (Plan Check and Construction Inspections) <br /> TANK ID # (s) : PLAN CHECK FEE = $ 1216 / FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID # (s) : <br /> TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment, cold starts , EVR upgrades , 456 . 00 <br /> spill buckets , sumps , mise) <br /> PIPING REPAIR FEE = $456 / FACILITY (use for piping , under-dispenser containment , ect.) $ <br /> MISCELLANEOUS <br /> TRANSFER FEE = $ 25 $ <br /> CONSULTATION FEE _ $ 152/ HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $ 152 / HOUR $ <br /> SAMPLING INSPECTION FEE _ $ 152/ HOUR $ <br /> FEES ARE BASED ON THE $ 152 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT, <br /> TOTAL AMOUNT DUE $ 456 . 00 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468-3420 F 209 464-0138 1 www. sjcehd . com <br />