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<' OPpU1NCLi SAN JOAQUIN <br /> } -� � Environmental Health Department <br /> � , ; <br /> r : . COU NTY <br /> ` Flt / r/ Greatness grows here . <br /> FACILITY NAME FACILITY CONTACT NAME , <br /> 11 <br /> Tracy Unifed School District Lisa Sawyer kIVIRONMI � ' ' I <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE Hl' rill <br /> 1975 W Lowell Av ( 209 ) 830-3230 <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> Tracy CA 95376 1 UST <br /> APPLICANT BILLING NAME APPLICANT <br /> Bagley Enterprises , IIncc�ONTACT NAME <br /> Ani IVlane or Joe <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> 2370 Maggio Cir #4 209 367-4800 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> Lodi CA 95240 Closure Installation Repair Retrofit 8881020 <br /> ACTIVE FACILITY <br /> UST FEES = $ 550 2014 2015 UST FEES 2016 UST FEES 2017 VPH UST FEES = 2018 $ <br /> ( Facility+ 1st = $ 583 = $641 $961 Facility + <br /> Tank) + $ 130/Tank Facility + Facility + $228/Tank <br /> after 1st $ 1391Tank $1521Tank <br /> Double Wall & 1702 $ <br /> Compliant UST <br /> FEES = $680 <br /> Facility + $228/Tank <br /> Tank Penalty $ <br /> Assessed for <br /> Unreported Tanks <br /> ( Based on Annual <br /> Permit Fees <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 /> $ <br /> TANK ID # (s) : CLOSURE FEE = $456 / TANK # TANKS X $456 = <br /> TEMPORARY CLOSURE <br /> (Plan Review and Inspections) <br /> $ <br /> TANK ID # (s) : TEMPORARY CLOSURE FEE _ $456 / FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Ins ectons <br /> TANK ID # (s) : PLAN CHECK FEE = $3 , 040 / FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID # (s) : 10643278 <br /> TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment , cold Starts , EVR upgrades , $ 456 . 00 <br /> Spill buckets , sumps , misc. <br /> PIPING REPAIR FEE _ $4561 FACILITY use for piping , under-dispenser containment, etc. <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 1 $ 456 . 0 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST # FACILITY ID AMOUNT RECENED CHECK # RECEIVED BY DATE RECEIVED <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 T 209 468 -3420 1 F 209 464 -0138 1 www. sjcehd . com <br />