Laserfiche WebLink
I <br /> i <br /> SAN J OA Q U I N Environmental Health Department <br /> ILr :. l COUNTY <br /> Greatness grows here . <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Anabi Oil - Shell Scott Willett - <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br /> 2375 West Grant Line Road 760 722 - 9002 <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> Tracy CA 95377 <br /> 4 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Maggio Maintenance Inc . Scott Willett <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> 2603 Indust Street 760 722 - 9002 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> Oceanside CA 92054 closure Installation Repair Retrofit $405822 <br /> ACTIVE FACILITY <br /> UST FEES = $641 Facility Fee + $ 152 Per Tank 2012 2013 2014 2015 2016 2017 <br /> $ 0 <br /> TANK PENALTY ASSESSED $ 0 <br /> TANK SURCHARGE = $20 / TANK $ 0 <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49. 00/ FACILITY $ 0 <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID # (s) : CLOSURE FEE = $456 / TANK # TANKS X $456 = $ <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID # (s) : TEMPORARY CLOSURE FEE = $456 / FACILITY $ 071 <br /> INSTALLATION PLAN CHECK <br /> (Plan Check and Construction Inspections) <br /> TANK ID # (s) : PLAN CHECK FEE = $ 1216 / FACILITY $ 0 <br /> REPAIR PLAN CHECK <br /> TANK ID # (s) : <br /> TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment, cold starts , EVR upgrades , $ 456 <br /> spill buckets , sumps , mist. <br /> PIPING REPAIR FEE _ $456 / FACILITY (use for piping , under-dispenser containment, ect . ) $ 0 <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $ 25 $ 0 <br /> CONSULTATION FEE _ $ 152/ HOUR $ 0 <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $ 152 / HOUR $ 0 <br /> SAMPLING INSPECTION FEE = $ 152/ HOUR Is 0 <br /> FEES ARE BASED ON THE $ 152 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED To APPLICANT, <br /> TOTAL AMOUNT DUE $ 456 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST # I FACILITY ID I AMOUNT RECEIVED CHECK # I RECEIVED BY DATE RECEIVED <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 -3420 F 209 464 -0138 www. sjcehd . com <br />