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10 SAN JOAQUIN COUNTY . <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjeov.ore/ehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />CLOSURE FEE = $345 / TANK <br />c -A- G o I -- <br />-FACILITY ADDRESS <br />SITE PHONE #WITH AREA CODE <br />�,3 40 <br />P -CA <br />CITY STATE <br />ZIP CODE <br /># OF TANKS AT SITE <br />APPLICANT PHONE # WITH AREA CODE <br />bye <br />APPLICANT BILLING NAME <br />TANK ID # (s): <br />CLOSURE FEE = $345 / TANK <br />APPLI ANT CONTACT NAME <br />31 /VU0.YL <br />1 <br />C at�'f fS <br />2007 <br />c <br />AP (CANT MAILING ADDRESS <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2004-2007) <br />APPLICANT PHONE # WITH AREA CODE <br />bye <br />s -?9,- 6s (� <br />CITY <br />STATE I ZIP CODE <br />CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />d i^ <br />I e <br />44 <br />Clo ure Installation Repair Retrofit <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $345 / TANK <br />20 04 <br />2005 <br />2006 <br />2007 <br />2008 <br />1 2009 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2004-2007) <br />$ <br />PIPING REPAIR FEE _ $345 /FACILITY use for piping, under-disenser containment, set.) <br />SAMPLING INSPECTION FEE _ $ 115/ HOUR <br />$550 FEE INCLUDES FACILITY FEE - 1 TANK (2008-2009) <br />$ <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE =$15/TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49.00/ FACILITY <br />P ENT CLOSURE <br />Removal r Permitted Closure in Place <br />TANK ID # (s): <br />CLOSURE FEE = $345 / TANK <br /># TANKS X $345 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $345 / FACILITY <br />INSTALLATION PLAN CHECK <br />Plan Check and Construction Inspections) <br />TANK ID # (s) : <br />PLAN CHECK FEE = $920 / FACILITY <br />If <br />$ <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />TRANSFER FEE _ $ 20 <br />$ <br />TANK RETROFIT REPAIR FEE = $345 / FACILITY Use for monitoring equipment, cold starts, EVR upgrades, <br />spill buckets, sumps, misc. <br />$ <br />PIPING REPAIR FEE _ $345 /FACILITY use for piping, under-disenser containment, set.) <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE _ $ 1151 HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 115 /HOUR <br />SAMPLING INSPECTION FEE _ $ 115/ HOUR <br />ALL FEES ARE BASED ON THE $115 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />