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SAN J O A Q U I N Environmental Health Department <br /> jail - - COUNTY <br /> 01 / , . � ������ Grentness grows here . <br /> FACILITY NAME FACILITY CONTACT NAME <br /> San Joaquin General Hospital Jesse Escotto <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br /> 500 W Hospital Wy 209 ) 468-7063 <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> French Camp CA 95231 1 UST <br /> APPLICANT BILLING NAME Bagley Enterprises , Inc APPLjCnn ANT_CLane oONTACT NAME <br /> n/lr Joe <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> 2370 Maggio Cir #4 209 367- 4800 <br /> CITY Lodi STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> CA 95240A�Closure Installation epal 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) + $ 1301Tank Facility + Facility + $2281Tank <br /> after 1st $139/Tank $152ITank <br /> Double Wall & 1702 $ <br /> Compliant UST <br /> FEES = $680 <br /> Facili + $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 /> PERMANENTCLOSURE <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 Inspections) <br /> $ <br /> TANK ID # (s) : PLAN CHECK FEE = $3, 040 / FACILITY <br /> REPAIR PLAN CHECK <br /> TAN K 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 _ $456 / 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 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 />