Laserfiche WebLink
02/20/2008 FED 15: 25 FAX 22094683433 SJC EHD -- Stockton Sezv Ste Ea Co 2007/008 <br /> SAN JOAQUIN COUNTY <br /> Iii:V IRONbIEN'I'AL.FIL'ALTII DrPAR <br /> 600 East Main Surct,Stockton,CA 93202-3029 <br /> Telephane:(2091 408-3420 Fax:(209)468-3433 Web:wwwsjgoy_Rrg/eh(i, <br /> FACILITY NAME / FACILITY CONTACT NAME <br /> FACILITY ADDRESS SITE PHONE q WITH AREA CODE <br /> CITY ___ _ ,—_� —__-- STATE_—_ ZIP CODE NOF TANKS AT SITE <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> -- <br /> LAPPLICANT MAIL TNG ADDRESS APPLICANT PHONEq WITH AREA CODE <br /> CITY- STATE ZIP CODE CIRCL TO BE DONE CONTRACTOR ICC M <br /> Closur !nslallaaon epair Retrafl <br /> ACTIVE FACILITY <br /> 2003 2004 2005 1 2006 2007 20W <br /> $500 FEE INCLUDES FACILITY FEE. I LANK(2002-2007) <br /> $550 FEE INCLUDES FACILITY FEE� 1 TANK(2008) $ <br /> $125 PER TANK AFTER FIRST TANK <br /> LANK rrnlA..TY ASSESSED <br /> I------------ -------------------- HH::j <br /> $ <br /> 'ANI(S')RC!ARGF. =$15/TANK <br /> STATE SURCHARGE FOR FACILITIFS NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.00/FACILITY <br /> PFRMANEN I CLOSURE <br /> I rterwval cr Permalotl CWscre In Place' _____ <br /> TANK ID 915, _ CLOSURE FEE_$2941 TANK N TANKS X$294= <br /> TEMPORARY CLOSURE <br /> P Cel RC view and InaDCC!Ipna) _ <br /> TA.NA IE,4 pi) TEMPORARY CLOSURE FEE_$2941 FACILITY <br /> ------------------- <br /> I IN STAL'_AT"ION RLAN CHECK ----- -__ <br /> (Plan 41'efkt Jntl Chns!NPbOn InsP9cliPnF}.-_ ___ <br /> PLAN CHECK FEE_$784/FACILITY $ <br /> REPAIR PLAN CHECK <br /> t ANKIO <br /> I Q <br /> TANK RETROFIT REPAIR FEE -$2941 FACILITY onilorl quipmenl,cold starts,EVR upgrades, <br /> Spill buckepmisc.Z___.—,—__— —1 <br /> rG 2EPAIR FEF: _ ras <br /> $294/FACILITY__ Suse for I in ,under-dis eer containment,bcl. <br /> i PIPI! $ <br /> MISCELLANEOUS — <br /> I <br /> iHA_dSFER I"FE _ _i 7.0 _ <br /> l,ONSU_TATION FEE _ $981 HOUR <br /> I UNAUTHOR!ZED RELEASE EVALUATION FEE = S 98 7 HOUR.______ <br /> ( _ $ <br /> SAMPLING INSPECTION FEE HOUR <br /> ALL FEE$ARE BASED ON THE SB8 HOURLY RATE. TIME THATEXCEEDSFEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> �ckSICE 3STa FACILITYID ,- _._.. _AMOUNT RECEIVED CHECKM 1 RECEIVED BY I DATE RECEIVED <br /> SR <br /> Of 24 Oi2;REOSED 1213V07) <br />