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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.sj og v.or /g ehd <br />FACILITY NAME <br />APPLICANT CONTACT NAME <br />FACILITY CONTACT NAME <br />2002 <br />APPLICANT MAILING ADDRESS <br />0 <br />FACILITY ADDRIESS <br />n1 ' <br />SITE PHONE # WITH AREA CODE <br />ISTATE <br />I ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />CITY <br />I STATE <br />I ZIP CODE <br />I # OF TANKS AT SITE <br />CA <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (20i 18 & New <br />lnstolls is of 8,11107) <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />CLOSURE FEE = $294 / TANK <br />2002 <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />T, 0 + "bK1 <br />n1 ' <br />CITY <br />ISTATE <br />I ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 98 / HOUR <br />Closure Installation epai Retrofit 3J� <br />ACTIVE FACILITY <br />TANK ID # (s) : <br />CLOSURE FEE = $294 / TANK <br />2002 <br />2003 <br />2004 <br />2005 <br />2006 <br />2007 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-200 <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 98 / HOUR <br />SAMPLING INSPECTION FEE = $ 98/ HOUR <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (20i 18 & New <br />lnstolls is of 8,11107) <br />$ <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.00/ FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s) : <br />CLOSURE FEE = $294 / TANK <br /># TANKS X $294 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $294 / FACILITY <br />%LLATION <br />Check and <br />TANK ID # (s) : I PLAN CHECK FEE = $784 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # s : <br />TANK RETROFIT REPAIR FEE = $294 / FACILITY (use for monitoring equipment, spill buckets, tank sumps, mist.) <br />PIPING REPAIR FEE = $294 / FACILITY use for piping, under -dispenser containment, ect. <br />ME I <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE = $ 98/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 98 / HOUR <br />SAMPLING INSPECTION FEE = $ 98/ HOUR <br />ALL FEES ARE BASED ON THE $98 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO Arruw+ry 1. <br />nFFICF I IRF nful V <br />