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0 , USAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> Telephone: (209)468-3420 Far: (209)468-3433 Web:www.sieov.or /g ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Valero Service Station Charles York <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 153 East Eleventh Street 209 832-8815 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> Tracy CA 95376 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Triton Construcdon Charles York <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 2560 Soquel Avenue#202 831 227-4729 <br /> CITY STATE ZIP CODE CIRCLE WORKTO BE DONE CONTRACTOR ICC# <br /> Santa Cruz CA 95062 Closure Installation RepairXRetrofit 5252257-VI <br /> ACTIVE FACILITY <br /> 2004 2005 2006 2007 2008 2009 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2004-2007) <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2008-2009) <br /> $125 PER TANK AFTER FIRST TANK <br /> TANK PENALTY ASSESSED <br /> TANK SURCHARGE=$15/TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$49.001 FACILITY <br /> PERMANENTCLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID# s CLOSURE FEE_$345/TANK #TANKS X$345= <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_ $345/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(a): PLAN CHECK FEE_$920/FACILITY is <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> TANK RETROFIT REPAIR FEE =$345/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, 690 <br /> spill buckets,sumps,misc. <br /> PIPING REPAIR FEE _$345/FACILITY use for piping,under-dispenser containment,act. <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 <br /> $ <br /> CONSULTATION FEE _ $115/HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $115/HOUR <br /> SAMPLING INSPECTION FEE _ $1151 HOUR <br /> ALL FEES ARE BASED ON THE$115 HOURLY RATE. TIME TH AT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# I FACILITY ID I AMOUNT RECEIVED I CHECK# I RECEIVED BY I DATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 07/01/09) <br />