Laserfiche WebLink
SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax. (209) 468-3433 Web: www.sjcehdxom <br />FACILITY NAME FACILITY CONTACT NAME <br />�(0 <br />FACILITY ADDRESS SITE PH NE # WITH AREA CODE <br />CITY STATE ZIP CODE # OF TANKS AT SITE <br />CA <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />CLOSURE FEE = $390 /TANK <br />dmw <br />j.. <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # ITH—A7REA CODE <br />C S E <br />ry <br />IP CODE • CIRCLE WORK TO BE D%Retrofl CONTRACTOR ICC # <br />Closure Installation Repair <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $390 /TANK <br />2010 <br />2011 <br />2012 <br />2013 <br />2014 <br />2015 <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK <br />UNAUTHORIZED RELEASE EVALUATION FEE = $130 / HOUR <br />SAMPLING INSPECTION FEE _ $ 1301 HOUR <br />_ __ ne�ne ecce Dein WII RF Rii i_Fn TO APPLICANT. <br />$130 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$35.00/ FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): <br />CLOSURE FEE = $390 /TANK <br /># TANKS X $390 = <br />TEMPORARY CLOSURE <br />Pian Review and Inspections <br />TANK ID # (a): <br />TEMPORARY CLOSURE FEE = $390 / FACILITY <br />REPAIR PLAN CHECK <br />$ <br />3 <br />TANK ID # (s) : <br />for equipment, cold starts, EVR upgrades, <br />TANK RETROFIT REPAIR FEE = $390 / FACILITY (use monitoring <br />v <br />s ill buckets, sum s, mise. <br />77 <br />$ <br />PIPING REPAIR FEE = $390 / FACILITY use for pi ing. under -dispenser containment, ect. <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 25 <br />CONSULTATION FEE _ $130/ HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE = $130 / HOUR <br />SAMPLING INSPECTION FEE _ $ 1301 HOUR <br />_ __ ne�ne ecce Dein WII RF Rii i_Fn TO APPLICANT. <br />FEES ARE BASED VN I"t: *1au nvurtLT rt'a'o. n,vc ,.,.., �....•-- --. • . -- • •.._ •..__ __ _.____ <br />