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C <br />SAN JOAQUIN COUNTY <br />` ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />31, <br />oe <br />�Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />Lawrence Livermore National Laboratory -S300 <br />William Schwartz <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />Corral Hollow Road <br />(925)423-6626 <br />CITY <br />I STATE <br />ZIP CODE <br />I # OF TANKS AT SITE <br />Tracy <br />I CA 1 <br />95376 <br />1 2 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Lawrence Livermore National Laboratory <br />Jose Pineda <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />7000 East Avenue L-695 <br />(925)423-7173 <br />CITY <br />STATE <br />ZIP CODE <br />CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />Livermore <br />I CA <br />1 94551 <br />Closure Installation Repair etrofit 5254957-U1 <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $315/TANK <br />2003 <br />2004 <br />2005 <br />2006 <br />2007 <br />2008 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) <br />$ <br />PIPING REPAIR FEE = $315/FACILITY use for piping, under -dispenser containment, ect. <br />$ <br />SAMPLING INSPECTION FEE = $ 105/ HOUR <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008) <br />$ <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 CUPA PROGRAM =$24.00/ FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): <br />CLOSURE FEE = $315/TANK <br /># TANKS X $315 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $315/FACILITY <br />INSTALLATION PLAN CHECK <br />(Plan Check and Construction Ir <br />TANK ID # (s) : <br />PLAN CHECK FEE = $840/FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />$ <br />TRANSFER FEE _ $20 <br />$ <br />TANK RETROFIT REPAIR FEE = $315/FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />315.00 <br />spill buckets, sumps, misc. <br />$ <br />PIPING REPAIR FEE = $315/FACILITY use for piping, under -dispenser containment, ect. <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $20 <br />$ <br />CONSULTATION FEE = $105/HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105/HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 105/ HOUR <br />ALL FEES ARE BASED ON THE $105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />OFFICE USE ONLY <br />SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED <br />SR <br />EH 23 032 (REVISED 7/18/08) <br />