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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT 40 <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone. (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.or ehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />AS -°-0 c f 5 <br />P�-k a Of LL -or t - <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />111470 1C L1 <br />( -3 2(o --SZc--� <br />CITY <br />STATE <br />ZIP CODE <br />I # OF TANKS AT SITE <br />c°G e -te v) <br />CA <br />CIRCLE WORK TO BE DONEFE <br />CONTRACTOR ICC # <br />APPLICANT BILLING NAME <br />TANK ID # (s): <br />APPLICANT CONTACT NAME <br />n -V, r,--,-eA-kCL <br />'S0— <br />APPLICANT MAILING ADDRESS <br />2006 <br />APPLICANT PHONE # WIN AREA CODE <br />ri',v v A,- <br />p� <br />($ 6J-1 -q W2 - <br />CITY <br />STATE <br />ZIP CODE <br />CIRCLE WORK TO BE DONEFE <br />CONTRACTOR ICC # <br />® v"., <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008) <br />$125 PER TANK AFTER FIRST TANK <br />2_!501Closure <br />Installation ep it Retrofit <br />143 2S <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 />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) <br />$ <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ect. <br />$ <br />SAMPLING INSPECTION FEE _ $105/ HOUR <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008) <br />$125 PER TANK AFTER FIRST TANK <br />$ <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 />Check <br />TANK ID # (s) : I PLAN CHECK FEE = $840 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s) <br />TRANSFER FEE _ $ 20 <br />TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />I! <br />spill buckets, sumps, misc. <br />$ <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ect. <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />$ <br />CONSULTATION FEE _ $ 105/ HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE =$105/HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $105/ HOUR <br />ALL FEES ARE BASED ON THE $105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />