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n <br />SA\ JOAQUIN CO \T) <br />ENVIRONMENTAL I1EALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Far: (209) 468-3433 Web: www�dcehd.com <br />FACILITY NAME __�LITY CONTACT NAME <br />FACILITY ADDRESS <br />BILLINGAPPLICANT <br />CONTACT <br />CLOSURE FEE= $390 /TANK <br />2009 <br />NG ADDRESS <br />APPLICANT LI <br />+ +r <br />APPLICANT PHONE <br />2012 <br />2013 <br />2014 <br />ZIP CODE CIRCLE W TO BE DONE i <br />CONTRACTORICC# <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE _ $ 130 / HOUR <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser containment, ect. <br />ACTIVE FACILITY <br />TANK ID # s <br />CLOSURE FEE= $390 /TANK <br />2009 <br />2010 <br />2011 <br />2012 <br />2013 <br />2014 <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE _ $ 130 / HOUR <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser containment, ect. <br />$ <br />SAMPLING INSPECTION FEE _ $ 130/ HOUR <br />$130 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE _ $151 TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM =$35.00/ FACILITY <br />PERMANENT CLOSURE <br />(Re noval or Permitted Closure in Place <br />TANK ID # s <br />CLOSURE FEE= $390 /TANK <br /># TANKS X $390 = <br />TEMPORARY CLOSURE <br />Plan Review and Ins ections <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $390 / FACILITY <br />and <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />TRANSFER FEE _ $ 25 <br />$ <br />TANK RETROFIT REPAIR FEE _ $390 ( FACILITY (use for monitoring equipment, cold starts, EVR upgrades. <br />CONSULTATION FEE = $ 130/ HOUR <br />Spill buckets, sumps, misc.)Q <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE _ $ 130 / HOUR <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser containment, ect. <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $ 25 <br />$ <br />CONSULTATION FEE = $ 130/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE _ $ 130 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 130/ HOUR <br />TOTAL• DUE <br />