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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 web: www.s'gov.orehd <br />FACILITY NAME FACILITY CONTACT NAME <br />FACILITY ADDRESS SITE PHONE #WITH AREA CODE <br />CITY STATE ZIP CODE # OF TANKS AT SITE <br />CA <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />CONSULTATION FEE = $125/ HOUR <br />2008 <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />2011 <br />2012 <br />CITY STATE ZIP CODE <br />CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />Closure Installation Repair Retrofit <br />ACTIVE FACILITY <br />$ <br />CONSULTATION FEE = $125/ HOUR <br />2008 <br />2009 <br />2010 <br />2011 <br />2012 <br />2013 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2007-2008) <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2009-2012) <br />$ <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE = $15 / TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM =$35.00/ FACILITY <br />INSTALLATION PLAN CHEC <br />(Plan Check and Construction <br />TANK ID # <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />PLAN CHECK FEE = $1000 / FACILITY <br />TANK RETROFIT REPAIR FEE = $375 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, I $ <br />spill buckets, sumps, misc.) <br />REPAIR FEE = $375 / FACILITY (use for <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 25 <br />$ <br />CONSULTATION FEE = $125/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 1251 HOUR <br />$ <br />SAMPLING INSPECTION FEE = $125/ HOUR <br />$ <br />ALL FEES ARE BASE® ON THE $125 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />TOTAL AMOUNT DUE $ ' <br />