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0 <br />SAN JOAQUIN COUNTY 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjaov.org/ehd <br />NAMP <br />PERMANENT CLOSURE <br />rHGILI I r GUN I AG I NAME <br />7 -Eleven #35355 <br />FACILITY ADDRESS <br />SITE PHONE #WITH AREA CODE <br />$ <br />Plan Review and Ins ections <br />TANK ID # (s) : <br />3202 West Hammer Lane <br />$ <br />CITY STATE <br />ICA <br />ZIP CODE # OF TANKS AT SITE <br />Stockton <br />95209 3 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />TANK ID # (s) : <br />Walton En inerin , Inc. <br />Veronica Freitas <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />REPAIR PLAN CHECK <br />P.O. Box 1025 <br />TANK tD # (s) <br />CITY <br />916 373-1167 <br />TANK RETROFIT REPAIR FEE = $375 / FACILITY <br />STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />West Sacramento <br />CA I 95691 <br />Closure Installation He air' Retrofit <br />, u <br />upgrades, <br />s ill buckets, sum s, misc. <br />ACTIVE FACILITY <br />PIPING REPAIR FEE = $375 / FACILITY <br />(use for piping, under -dispenser containment, ect.) <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2007-2008) <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2009-2012) <br />2008 2009 2010 2011 2012 2013 <br />$125 PER TANK AFTER FIRST TANK <br />TRANSFER FEE _ $ 25 <br />$ <br />TANK PENALTY ASSESSED <br />CONSULTATION FEE = $ 125/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 125 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 125/ HOUR <br />$ <br />TANK SURCHARGE = $15 /TANK <br />ALL FEES ARE BASED ON THE $125 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$35.00/ FACILITY <br />$ <br />PERMANENT CLOSURE <br />(Removal or Permitted Closure in Place) <br />TANK ID # (s): <br />TEMPORARY CLOSURE <br />CLOSURE FEE = $375 / TANK # TANKS X $375 = <br />$ <br />Plan Review and Ins ections <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $375 / FACILITY <br />$ <br />INSTALLATION PLAN CHECK <br />Plan Check and Construction Inspections) <br />TANK ID # (s) : <br />$ <br />PLAN CHECK FEE _ $1000 / FACILITY <br />REPAIR PLAN CHECK <br />TANK tD # (s) <br />TANK RETROFIT REPAIR FEE = $375 / FACILITY <br />(use for monitoring equipment, ui cold starts, EVR <br />4 p <br />$ <br />, u <br />upgrades, <br />s ill buckets, sum s, misc. <br />375 <br />PIPING REPAIR FEE = $375 / FACILITY <br />(use for piping, under -dispenser containment, ect.) <br />$ <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 25 <br />$ <br />CONSULTATION FEE = $ 125/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 125 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 125/ HOUR <br />$ <br />ALL FEES ARE BASED ON THE $125 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO <br />TOTAL AMOUNT DUE <br />APPLICANT. <br />375 <br />OFFICE USE ONLY <br />