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SAN JOAQUIN <br /> rtvir ental I nt <br /> COUNTY - - tl ( ", ' fila <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Pacific Gas & Electric Alex Steele , `% ' " � " ' <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br /> 4040 West Lane 209 337 - 8902 <br /> CITY STATE ZIP CODE I # OF TANKS AT SITE <br /> Stockton CA 95204 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> TAIT Environmental Services Kristin Reynolds <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> 11280 Trade Center Drive 916 224 - 7280 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> Rancho Cordova CA 95742 1 Closure Installation `- Repair;; Retrofit <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 /> $ 1301Tank after 1st $139/Tank + $ 152/Tank $ <br /> Tank Penalty Assessed for $ <br /> Unreported Tanks ( Based on <br /> Annual Permit Fees <br /> $ <br /> TANK SURCHARGE = $ 20 / TANK <br /> $ <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 /> $ <br /> TANK ID # (s) : CLOSURE FEE _ $456 / TANK # TANKS X $456 = <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> $ <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 /> $ <br /> TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment, cold starts , EVR upgrades , 456 . 00 <br /> spill buckets , sumps , misc. <br /> PIPING REPAIR FEE _ $456 / FACILITY use for piping , under-dispenser containment , ect. <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 . 00 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY I DATE RECEIVED <br /> ffm <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468-3420 F 209 464-0138 1 www. sjcehd . com <br />