My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2021
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MANTHEY
>
3408
>
2300 - Underground Storage Tank Program
>
PR0517521
>
COMPLIANCE INFO_2021
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/20/2022 9:43:36 AM
Creation date
1/11/2021 10:05:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0517521
PE
2361
FACILITY_ID
FA0013484
FACILITY_NAME
FOOD 4 LESS FUEL CENTER*
STREET_NUMBER
3408
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
16422011
CURRENT_STATUS
01
SITE_LOCATION
3408 MANTHEY RD
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
187
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
S Q N J Q Q Q U I N Environmental Health Department <br /> - - - COUNTY <br /> FACT NAME �� FACILITY CONTACT NAME <br /> ' (T JSIrLs • � � VCQGQ�� <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> CA <br /> APPLICANT.BILLING NAME <br /> � 1SLl APPLIC CON ACT N ME <br /> APPLICANT MAILING ADDRESS APPLICANT PHONEWiTHEA CODE <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE /CONTRACTOR ICC # <br /> L <br /> S' 5 Closure Installation a air Retrofit <br /> ACTIVE FACILITY <br /> UST FEES = $550 2014 2015 <br /> UST FEES 2016 UST FEES 2017 VPH UST FEES = 71 <br /> 018 $ <br /> (Facility+ 1st = $583 = $641 $961 Facility + <br /> Tank) + $ 130/Tank Facility + Facility + $228/Tank <br /> after 1st $139ffank $1521Tank Double Wall & 1702 $ <br /> Compliant UST <br /> FEES = $680 <br /> Facility + $228ft'ank <br /> Tank Penalty $ <br /> Assessed for <br /> Unreported Tanks <br /> (Based on Annual <br /> Permit Fees <br /> TANK SURCHARGE _ $201 TANK <br /> $ <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 /> $ <br /> TANK ID # (s) : CLOSURE FEE _ $4561 TANK # TANKS X $456 = <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> $ <br /> TANK ID # (s) : TEMPORARY CLOSURE FEE = $456 / FACILITY <br /> IIIIIINSTALLATION PLAN CHECK <br /> Plan Check and Construction Ins ections $ <br /> TANK ID # (s) : PLAN CHECK FEE _ $3,0401 FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID # (s) : <br /> $ <br /> TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br /> Spill buckets, sumps , misC. <br /> PIPING REPAIR FEE _ $4561 FACILITY use for piping, under4s enser containment, etc. <br /> MISCELLANEOUS <br /> $ <br /> TRANSFER FEE _ $ 25 <br /> $ <br /> CONSULTATION FEE _ $ 1521 HOUR <br /> $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $ 152 J HOUR <br /> $ <br /> SAMPLING INSPECTION FEE _ $ 1521 HOUR <br /> FEES ARE BASED ON THE $152 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $ " <br /> OFFICE USE ONLY <br /> SERVICE REQUEST q I FACILnY ID AMOUNT RECEIVED CHECK R RECEIVED BY I DATE RECEIVED <br /> 1868 E. Hazelton Avenue Stockton , California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd .com <br />
The URL can be used to link to this page
Your browser does not support the video tag.