COMPLIANCE INFO_2005-2010 - Laserfiche WebLink

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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd FACILITY NAME FACILITY CONTACT NAME Kaiser Manteca Medical Center Dana G. Feiock FACILITY ADDRESS SITE PHONE # WITH AREA CODE 1777 W. Yosemite Ave. 209 825-3533 CITY I STATE I ZIP CODE # OF TANKS AT SITE Manteca I CA 1 95337 1 APPLICANT BILLING NAME APPLICANT CONTACT NAME CVA Capital Projects Dana G. Feiock APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE 4601 Dale Rd. 209 735-5314 CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # Modesto CA 9 5 3 5 6 Closure Installation Repairetro . ACTIVE FACILITY 2003 2004 2005 2006 2007 2008 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) $550 FEE INCLUDES FACILITY FEE + 1 TANK (2008] $125 PER TANK AFTER FIRST TANK TANK PENALTY ASSESSED TANK SURCHARGE = $15 / TANK STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.00/ FACILITY PERMANENT CLOSURE Removal or Permitted Closure in Place TANK ID # s CLOSURE FEE = $315 / TANKT# TANKS X $315 = TEMPORARY CLOSURE Plan Review and In ections TANK ID # (s) : TEMPORARY CLOSURE FEE = $315 / FACILITY REPAIR PLAN CHECK TANKID#(s): 390002323970239701 TRANSFER FEE _ $ 20 TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, s ill buckets, sumps, misc. PIPING REPAIR FEE = $315 / FACILITY (use for piping, under -dispenser containment, ect. MISCELLANEOUS TRANSFER FEE _ $ 20 CONSULTATION FEE = $ 105/ HOUR UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR SAMPLING INSPECTION FEE = $105! HOUR ALL FEES ARE BASED ON THE $109 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT.