Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIItONMEN'I'Al. IiF:AL"I,H DI?PAR"I'MFN <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sj o� v_orp/ehd <br />NAME <br />FACILITY CONTACT NAME <br />yFA.,CILITY <br />lJ /)) 'IF) e 'T9 f -P � `> <br />`*A (; V 1 L L -0 1 <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />L I St <br />X23) `2(o 4 <br />CITY <br />I STATE <br />ZIP CODE <br /># OF TANKS AT SITE <br />cG k c v) <br />CA <br />�i <br />/ 5 2 - <br />ZIP CODE <br />APPLICANT BILLING NAME <br />TANK ID # (s): <br />CLOSURE FEE = $315 / TANK <br />APPLICANT CONTACT NAME <br />-*= En V , S'e,n m -e/1"k cL SCJreaw, me— <br />A-4> 6-- 06-5 <br />APPLICANT MAILING ADDRESS <br />2007 <br />2008 <br />APPLICANT PHONE # WIVH AREA CODE <br />4''O i•/1.1'SS �t t J: A f ^ <br />Pvyl& ^ z" 6 <br />5 51 `2 -- S 7 d '- <br />CITY <br />STATE <br />ZIP CODE <br />CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />Y2 , v' -J r / d # <br />a4 <br />2_!50 <br />Closure Installation ep it Retrofit <br />5 2-5 z �xjU <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $315 / TANK <br />2003 <br />2004 <br />2005 <br />2006 <br />2007 <br />2008 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ed. <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />SAMPLING INSPECTION FEE _ $ 105/ HOUR <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008) <br />$ <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.00/ FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): <br />CLOSURE FEE = $315 / TANK <br /># TANKS X $315 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $315 / FACILITY <br />ALLATION PLAN CHEC <br />Check and Construction <br />TANK ID # <br />/F <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />TRANSFER FEE _ $ 20 <br />TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />spill buckets, sumps, misc.)�YJ <br />CONSULTATION FEE = 105/ HOUR <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ed. <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE = 105/ HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />SAMPLING INSPECTION FEE _ $ 105/ HOUR <br />ALL FEES ARE BASED ON THE $108 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />