Laserfiche WebLink
SAM JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALs:, DIVSION <br />,.evFr - FFF um■SHFET <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br />I FACILITY PENALTY FEES ASSESSED (If Applicable) <br />1986 <br />1 <br />V TANK FEE 550.00/TANK <br />(Prior <br />to January 1,1991) <br />FACILITY CONTACT NAME <br />S <br />FACILITY SITE HANE <br />Taylored Tours <br />Arnie Taylor <br />1 <br />1990 <br />1991 <br />T <br />f xxxxxxxx <br />SITE PHONE 0 with AREA CODE <br />E <br />FACILITY ADDRESS <br />303 E. Kettleman Ln. <br />(209)334-3452 <br />$ <br />xxxx <br />STATE <br />ZIP CODE <br />N of TANKS <br />A <br />CITY <br />Lodi <br />CA <br />95240 <br />at SITE <br />2 <br />P <br />P <br />APPLICANT/BILLING NAME <br />APPLICANT CONTACT NAME <br />L <br />Arnie Taylor <br />Arnie Taylor <br />I <br />APPLICANT PHONE B VITH AREA CODE <br />C <br />MAILING ADDRESS <br />A <br />1912 E. Mettler Rd. <br />209 334-3452 <br />N <br />STATE <br />ZIP CGDE <br />TYPE of APPLICATION <br />T <br />CITY <br />Lodi, <br />CA <br />95242 <br /><tlosure, Instellettan, at.Removal <br />ANNUAL FACILITY FEE (Prior to January 1, 1991) = $100.00 <br />I FACILITY PENALTY FEES ASSESSED (If Applicable) <br />1986 <br />1 <br />V TANK FEE 550.00/TANK <br />(Prior <br />to January 1,1991) <br />1990 <br />E <br />A Tanks <br />1987 <br />1988 <br />1989 <br />1990 <br />1991 <br />F (multiply fee for <br />f xxxxxxxx <br />PIPING REPAIR FEE _ $78.00/hour (3 hours mini"/FACILITY) _ $234.00 minimum <br />xxxx <br />xxxx <br />— <br />A each year applicable) <br />xxxx <br />xxxx <br />xxxx <br />xxxx <br />xxxx <br />C <br />1 TANK PENALTY FEES ASSESSED <br />xxxx <br />xxxx <br />xxxx <br />XXXx <br />xxxx <br />L <br />1 STATE SURCHARGE <br />i <br />Y R Tanks_ x $8.00 <br />1988 through 1990 (556) <br />XXXXXXXXXX%XXXXXXXXXXX%XXXX <br />SURCHARGE FOR 1997 <br />1991 through 1996 056) 1997 <br />xxxxxxxxxxxxxxxxxxxxxxx S <br />C <br />1986 <br />1987 <br />1988 <br />1989 <br />1990 <br />$ <br />S <br />U <br />xxxx <br />xxxx <br />xxxx <br />xxxx <br />xxxx <br />f xxxxxxxx <br />PIPING REPAIR FEE _ $78.00/hour (3 hours mini"/FACILITY) _ $234.00 minimum <br />xxxx <br />xxxx <br />xxxx <br />xxxx <br />xxxx <br />$ xx%xxxXx <br />$170/7ANK <br />(After January <br />1, 1991) <br />1992 <br />1993 <br />1 1994 <br />1995 <br />1996 <br />1997 <br />IT <br />f <br />1991 through 1996 056) 1997 <br />xxxxxxxxxxxxxxxxxxxxxxx S <br />C <br />PERMANENT CLOSURE (Removal or Authorized Closure -in -Place) <br />TANK I.D. N(a) <br />L468.00 <br />0 <br />CLOSURE FEE = $78.00/hour (3 hours mi nlmm/7ANK) <br />R TANK(s) 2 % f234.00 = <br />$ <br />S <br />U <br />TEMPORARY CLOSURE (Plan Review 6 Inspections) <br />TANK I.D. B(a) <br />R <br />E <br />TEMPORARY CLOSURE FEE = $78.00/hour (3 hours m(nlmm/FACILITY) <br />1234.00 minimum <br />IT <br />P <br />INSTALLATION PLAN CHECK (Plan Review S Construction Inspections) <br />TANK I.D. N(a) <br />L <br />TANK LINING REPAIR FEE = $78.00/hour (3 hours minimus/TANK) <br />B TANK(s) X $234.00 = <br />A <br />N <br />PLAN CHECK FEE _ !78.00/hour (8 hours minimum/FACILITY) = $624.00 min(mm <br />$ <br />R <br />REPAIR FEE (Workplan Review i Construction Inspections) <br />TANK I.D. H(s) <br />E <br />P <br />TANK LINING REPAIR FEE = $78.00/hour (3 hours minimus/TANK) <br />B TANK(s) X $234.00 = <br />f <br />A <br />I <br />TANK RETROFIT REPAIR FEE _ $78.00/hour (3 hours min./FACILITY) _ $234.00 minimum <br />$ <br />$ 468.00 <br />R <br />PIPING REPAIR FEE _ $78.00/hour (3 hours mini"/FACILITY) _ $234.00 minimum <br />$ <br />M <br />TRANSFER FEE _ $20.00 UNAUTHORIZED RELEASE EVALUATION - $78.00/hr <br />f <br />1 <br />s <br />C <br />CONSULTATION FEE _ $78.00/hr SAMPLING INSPECTION FEE _ !78.00/hr <br />$ <br />TOTAL DUE <br />$ 468.00 <br />OFFICE USE <br />LOC <br />EN 23 032 (REVISED 5-27-97) <br />RECEIVED I CHECK B/CASH I RECEIVED BY <br />VED <br />