COMPLIANCE INFO_2006-2011 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY fficavao ENVIRONMENTAL HEALTH DEPARTMENT Y 2 6 2 009 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.or NVIRONMENT HEALTH FACILITY NAME FACILITY CONTACT NAME S he ( l -ck:(0 �') / C,"--lv . r FACILITY ADDRESS SITE PHONE # WITH AREA CODE 1 � C pc), (- ice} Ir �- C- ! L'( (3 � � Z69 � 2- - I 1 C 7 CITY I STATE ZIP CODE # OF TANKS AT SITE j - CA �! Cj APPLICANT BILLING NAME APPLICANT CONTACT NAME er ct, I Pe4- co 1 est, m -F�r_ APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE y rX. S -- 4 n(� CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # j - �$ q- Closure Installation a Retrofit ACTIVE FACILITY TANK ID # (s): CLOSURE FEE = $315 / TANK 2004 2005 2006 2007 2008 2009 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2004-2007) UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR SAMPLING INSPECTION FEE _ $ 105/ HOUR $550 FEE INCLUDES FACILITY FEE + 1 TANK (2{)08-2(09) $125 PER TANK AFTER FIRST TANK TANK PENALTY ASSESSED TANK SURCHARGE = $15 / TANK Is STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.00/ FACILITY PERMANENT CLOSURE Removal or Permitted Closure in Place TANK ID # (s): CLOSURE FEE = $315 / TANK # TANKS X $315 = TEMPORARY CLOSURE Plan Review and Inspections) TANK ID # (s) : TEMPORARY CLOSURE FEE = $315 / FACILITY II.6tf-114 W_1 and Construction TANK ID # PLAN CHECK FEE = $840 / FACILITY REPAIR PLAN CHECK TANK ID # (s) : TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, $ spill buckets, sumps, misc.)) CONSULTATION FEE _ $ 105/ HOUR PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ect. MISCELLANEOUS TRANSFER FEE _ $ 20 CONSULTATION FEE _ $ 105/ HOUR UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR SAMPLING INSPECTION FEE _ $ 105/ HOUR ALL FEES ARE BASED ON THE $105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT.