COMPLIANCE INFO_2008-2010 - 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 S-ewvOcf-3 2003 FACILITY ADDRESS SITE PHONE 9WITH AREA CODE 2006 12)— CITY STATE ZIP CODE :::I::#TANKS ATSITE I t4 CA —OF APPLICANT BILLI*NG NAME APPLICANT CONTACT NAME S-ewvOcf-3 2003 APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE 2006 12)— CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # PIPING REPAIR FEE = $294 / FACILITY (use for piping, under -dispenser containment, ect. tClosure Installation 4a air Retrofit $ ACTIVE FACILITY TANK ID # (s): CLOSURE FEE = $294 / TANK 2003 2004 2005 2006 2007 2008 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) $ PIPING REPAIR FEE = $294 / FACILITY (use for piping, under -dispenser containment, ect. $ SAMPLING INSPECTION FEE _ $ 98/ HOUR $550 FEE INCLUDES FACILITY FEE + 1 TANK (2008) $ $125 PER TANK AFTER FIRST TANK $ TANK PENALTY ASSESSED TANK SURCHARGE = $15 / TANK Is 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 = $294 / TANK # TANKS X $294 = TEMPORARY CLOSURE Plan Review and Inspections) TANK ID # (s) : TEMPORARY CLOSURE FEE = $294 / FACILITY INSTALLATION PLAN CHECK Plan Check and Construction Inspections) TANK ID # (s) : I PLAN CHECK FEE = $784 / FACILITY REPAIR PLAN CHECK TANK ID # (s) : $ TRANSFER FEE _ $ 20 $ TANK RETROFIT REPAIR FEE = $294 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, $ spill buckets, sumps, misc. $ PIPING REPAIR FEE = $294 / FACILITY (use for piping, under -dispenser containment, ect. MISCELLANEOUS $ TRANSFER FEE _ $ 20 $ CONSULTATION FEE _ $ 98/ HOUR $ UNAUTHORIZED RELEASE EVALUATION FEE = $ 98 / HOUR $ SAMPLING INSPECTION FEE _ $ 98/ HOUR ALL FEES ARE BASED ON THE $98 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. OFFICE USE ONLY SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED SR EH 23 032 (REVISED 12/31/07)