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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.sigov.org/ehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />Arc <br />Wei <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />�wz <br />— <br />CITY <br />STATE` <br />ZIP CODE # OF TANKS AT SITE <br />C_ I C <br />CA <br />-- a , <br />2j <br />APPLICANT BILLING NAME APPLICANT CONTACT NAME <br />TANK ID # (s): <br />APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br />2005 <br />CITY <br />STATE ZIP CODE CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />2009 <br />Closure Installation Repair Retrofit <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $366 / TANK <br />2005 <br />2006 <br />2007 <br />2008 <br />2009 <br />2010 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2005-2007) <br />PIPING REPAIR FEE = $366 / FACILITY use for piping, under -dispenser containment, ect. <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 122 / HOUR <br />SAMPLING INSPECTION FEE _ $ 122/ HOUR <br />___-__.-___.___�...��....�...... �.-.-.. ..•�••••rr r•1 rn Tll AOta11PAA1T <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008-2010) <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />$ <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49.00/ FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): <br />CLOSURE FEE = $366 / TANK <br /># TANKS X $366 = <br />TEMPORARY CLOSURE <br />Plan Review and Ins ections <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $366 / FACILITY <br />.TION PLAN <br />TANK ID # (s) : I PLAN CHECK FEE = $976 / FACILITY <br />$ <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />1 <br />$ <br />TANK RETROFIT REPAIR FEE = $9667 FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />7 <br />s ill buckets, --s misc. <br />CONSULTATION FEE = $ 122/ HOUR <br />PIPING REPAIR FEE = $366 / FACILITY use for piping, under -dispenser containment, ect. <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 122 / HOUR <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $ 25 <br />$ <br />CONSULTATION FEE = $ 122/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 122 / HOUR <br />SAMPLING INSPECTION FEE _ $ 122/ HOUR <br />___-__.-___.___�...��....�...... �.-.-.. ..•�••••rr r•1 rn Tll AOta11PAA1T <br />ALL FEES ARE BASED ON THE $1ZZ HOUKLY KA E. i Wr i MA 1 CAUMCUJ --!l r— <br />� u� �• <br />