Laserfiche WebLink
• 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 sieov or /g ehd <br /> FACILITY CONTACT <br /> FACILITY NAME <br /> NAME <br /> PG&E Stockton Service Center Michelle Le 209-602-7038 <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 4040 West Lane #OF TANKS AT SITE <br /> CITY STATE ZIP CODE <br /> Stockton CA 95204 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Armour Petroleum Service & E ui Cor Michael A <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> PO Box 507 707 437-6668 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Vacaville C A 95696 Closure Installation Repair Retrofit <br /> [$500 <br /> VE FACILITY <br /> 2004 2005 2006 2007 2008 2009 <br /> FEE INCLUDES FACILITY FEE+1 TANK(2004-2007)FEE INCLUDES FACILITY FEE+ 1 TANK(2008-2009) $ <br /> PER TANK AFTER FIRST TANK $ <br /> K PENALTY ASSESSED $ <br /> TANK SURCHARGE_ <br /> l;15/TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.001 FACILITY <br /> PERMANENTCLOSURE <br /> Removal or Permitted Closure in Place $ <br /> TANK ID# s : CLOSURE FEE=$315/TANK #TANKS X$315= <br /> TEMPORARY CLOSURE <br /> Plan Rewew and Inspections) $ <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$315/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Ins ections $ <br /> TANK ID#(s): PLAN CHECK FEE_$840/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): $ <br /> TANK RETROFIT REPAIR FEE _$315/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, <br /> spill buckets,sumps,misc. <br /> PIPING REPAIR FEE _$315/ FACILITY use for piping,under-dispenser containment,ect. <br /> $315 <br /> MISCELLANEOUS <br /> $ <br /> TRANSFER FEE _ $20 $ <br /> CONSULTATION FEE = $105/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $1051 HOUR $ <br /> SAMPLING INSPECTION FEE _ $105/HOUR <br /> ALL FEES ARE BASED ON THE_$105 HOURLY RATE. TIME THAT E%LEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED I CHECK# RECEIVED BV DATE RECEIVED <br /> SR <br /> —U-23 032(REVISED 03120/09) <br />