COMPLIANCE INFO_1993-2005 - Laserfiche WebLink

Home Browse Search

N SAN JOAQUI ^OUNTY PUBLIC HEALTH SERVICES-ENVIRAIJMENTAL HEALTH DIVISION r UNDERdWUND STORAGE TANK PROGRJF FEE WORKSHEET FACILITY NAME FACILITY CONTACT NAME APPLICANT CONTACT NAME 1996-1999 FACILITY ADDRESS SITE PHONE # WITH AREA CODE $500 FEE INCLUDES FACILITY FEE + 1 TANK APPLICANT MAILING ADDRESS CITY STATE ZIP CODE # OF TANKS AT SiE::::] 9 f o %1 CA CITY ACTIVE FACILITY APPLICANT BILLING NAME APPLICANT CONTACT NAME 1996-1999 2000 ►� 1 $500 FEE INCLUDES FACILITY FEE + 1 TANK APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE $ - tv-\ oujzk 9 f o %1 UNAUTHORIZED RELEASE EVALUATION FEE = $ 89 / HOUR CITY STATE ZIP CODE__j SAMPLING INSPECTION FEE _ $.89/ HOUR CIRCLE WORK TO BE DONE: Closure installationRepair etro " ACTIVE FACILITY TANK ID # (s): CLOSURE FEE = $267 / TANK 1996-1999 2000 2001 $500 FEE INCLUDES FACILITY FEE + 1 TANK ($170) X (# tanks) X (# of years applicable) PIPING REPAIR FEE = $2671 FACILITY $ $125 PER TANK AFTER FIRST TANK UNAUTHORIZED RELEASE EVALUATION FEE = $ 89 / HOUR SAMPLING INSPECTION FEE _ $.89/ HOUR $ TANK PENALTY ASSESSED TANK SURCHARGE = $8/ TANK STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY INA CUPA PROGRAM= $10 / FACILITY PERMANENT CLOSURE Removal or Permitted Closure in Place TANK ID # (s): CLOSURE FEE = $267 / TANK I # TANKS X $267 = TEMPORARY CLOSURE Plan Review and inspections) TANK ID # (s) : [TEMPORARY CLOSURE FEE =$267/ FACILITY and TANK ID # FEE = $712 / FACILITY REPAIR PLAN CHECK TANK ID # (s): TANK LINING REPAIR FEE = $267 / TANK # TANKS X $267 TANK RETROFIT REPAIR FEE = $267 / FACILITY PIPING REPAIR FEE = $2671 FACILITY $ MISCELLANEOUS TRANSFER FEE _ $ 20 CONSULTATION FEE _ $ 89/ HOUR UNAUTHORIZED RELEASE EVALUATION FEE = $ 89 / HOUR SAMPLING INSPECTION FEE _ $.89/ HOUR ALL FEES ARE BASED ON THE $88 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. OFFICE USE ONLY