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°PnU"" cG� SAN JOA UINIjIVEL)ent�j Q Envirol r�i ntGl- <br /> " i �. ` COUNTY <br /> qZ�oaa`P , Greatness grows here . AUG 2 6 2021 <br /> UNDERGROUND STORAGE TANK FEE WOF9W MENTAL 171MP\ 1� 1 1 -1 <br /> FACILITY NAME DATE <br /> United Pacific # 5447 8/ 16/21 <br /> FACILITY ADDRESS CITY STATE ZIP CODE <br /> 1469 East Hammer Lane Stockton CA 95210 <br /> SERVICE REQUEST (CHOOSE ONE FEE SUBTOTAL <br /> Retrofit/Repair — Full Permit $456 * <br /> Retrofit/Repair — Minor Plan Check $ 152 * $ 152 . 00 <br /> Tank Lining $456 * per tank ** lined <br /> Temporary Closure $456 * <br /> Permanent Tank Closure - Removal $456 * per tank ** removed <br /> Permanent Tank Closure — Closure in Place $456 * per tank** closed in place <br /> Tank Installation $ 3040 * <br /> ADDITIONAL FEES FEE SUBTOTAL <br /> ' Failure to Obtain a Permit ' Penalty $ 456 <br /> CERS Consultation $ 152 * <br /> New Owner Consultation $ 152 <br /> ANNUAL CUPA OPERATING PERMITS FEE <br /> ( FOR NEW INSTALLATIONS - ALL APPLY) ( PAID PRIOR TO FINAL APPROVAL ) SUBTOTAL <br /> Hazardous Waste Generator <5 tons/yr $249 (if z5 tons/yr, varies) <br /> Hazardous Materials Business Plan ( HMBP ) Common $81 or Regular $279 <br /> HMBP Chemical Fee $ 17 per chemical <br /> Underground Storage Tank - Facility $ 1 , 582 (installed July 2004 or later) <br /> Underground Storage Tank - Tank $250 per tank** <br /> State Facility Surcharge $49 <br /> State Tank Surcharge $20 per tank** <br /> CERS Processing Fee $ 30 <br /> UNREPORTED TANK FEES <br /> (ORIGINAL ANNUAL FEES, LISTED BELOW, WILL BE DOUBLED ) SUBTOTAL <br /> 2016 $ 583 (facility) + $ 139 per tank ** x2 <br /> 2017 $641 (facility) + $ 152 per tank** x2 <br /> 2018 $ 961 post-July 2004 or $680 pre-July 2004 (facility) + $228 per tank** x2 <br /> 2019 $961 post-July 2004 or $680 pre-July 2004 (facility) + $228 per tank** x2 <br /> 2020 $ 1582 post-July 2004 or $982 pre-July 2004 (facility) + $250 per tank ** x2 <br /> TOTAL AMOUNT DUE $ 152 . 00 <br /> * FEES ARE BASED ON THE $ 152 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> ** EACH COMPARTMENT IN A SPLIT TANK IS COUNTED AS A SEPARATE TANK. <br /> REVISED 5/24/2021 <br /> 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468-3420 F 209 464-0138 1 www. sjgov. org/ehd <br />