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Pau SAN 10AQ U I N Environmental Heal De artment <br /> N . COUNTY WE 1VFD <br /> �a►�,. % ,t n e s s <br /> FACILITY NAME FACILITY CONTACT NAME <br /> SAN JOAQUIN REGIONAL TRANSIT DISTRICT RTD DARLA SMITH <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODq, F k LTH' <br /> 2849 E. MYRTLE STREET 209 467-6672 111. 1) <br /> CITY STATE ZIP CODE #OF TANK.1' T <br /> LODI CA 95205 2 UST/1 AST <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> BAGLEY ENTERPRISES INC JOSEPH BAGLEY <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 2370 MAGGIO CIR#4 209 367-4800 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> LODI CA 95240 Closure Installation Repair Retrofit $$$1020 <br /> ACTIVE FACILITY <br /> UST FEES= $550 2013 2014 2015 UST FEES= 2016 UST FEES= 2017 2018 <br /> (Facility+1st Tank)+ $583 Facility+ $641 Facility <br /> $130/Tank after 1st $139/Tank +$152/Tank <br /> Tank Penalty Assessed for $ <br /> Unreported Tanks(Based on <br /> Annual Permit Fees <br /> TANK SURCHARGE=$20 I TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$49.00/FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID# s CLOSURE FEE=$456/TANK —0TANKS X$456= $ <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE=$456/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> $ <br /> TANK ID#(s): PLAN CHECK FEE=$1,216/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s). <br /> TANK RETROFIT REPAIR FEE =$456/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, $ <br /> spill buckets,sumps, misc. <br /> PIPING REPAIR FEE=$456/FACILITY use for piping,under-dispenser containment,ect. $ 456. <br /> MISCELLANEOUS <br /> TRANSFER FEE = $25 $ <br /> CONSULTATION FEE = $152/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $ 152/HOUR $ <br /> SAMPLING INSPECTION FEE = $152/HOUR $ <br /> FEES ARE BASED ON THE$152 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $ 456. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />