COMPLIANCE INFO_2010-2015 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd FACILITY NAME FACILITY CONTACT NAME �.jl 1hif FACILITY ADDRESS SITE HONE # WITH AREA COD 2007 APPLICANT MAILING ADDRESS APPLICANT PHONE #jWITH AREA CODE 2010 CITY STATE ZIP CODE I # OF TANKS I ZIP CODE CIRCLE WORK TO BE DONECONTRACTOR ICC # CA =LJ APPLICANT BILLING NAME APPLICANT CONTACT NAME CLOSURE FEE = $375 / TANK 2006 2007 APPLICANT MAILING ADDRESS APPLICANT PHONE #jWITH AREA CODE 2010 441 —400-1 CITY STATE I ZIP CODE CIRCLE WORK TO BE DONECONTRACTOR ICC # Closure Installation R air Retrofit SAMPLING INSPECTION FEE = $ 125/ HOUR ACTIVE FACILITY TANK ID # (s): CLOSURE FEE = $375 / TANK 2006 2007 2008 2009 2010 2011 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2006-2007) $ UNAUTHORIZED RELEASE EVALUATION FEE = $ 1251 HOUR 1 SAMPLING INSPECTION FEE = $ 125/ HOUR $550 FEE INCLUDES FACILITY FEE + 1 TANK (2008-2011) $125 PER TANK AFTER FIRST TANK $ TANK PENALTY ASSESSED TANK SURCHARGE = $15 / TANK STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49.00/ FACILITY PERMANENT CLOSURE Removal or Permitted Closure in Place TANK ID # (s): CLOSURE FEE = $375 / TANK # TANKS X $375 = TEMPORARY CLOSURE Plan Review and Ins ions TANK ID # (s) : TEMPORARY CLOSURE FEE = $375 / FACILITY INSTALLATION PLAN CHECK Plan Check and Construction Inspections) TANK ID # (s) : PLAN CHECK FEE = $1,000 / FACILITY REPAIR PLAN CHECK TANK ID # (s) : TANK RETROFIT REPAIR FEE = $375 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, spill buckets, sumps, misc. PIPING REPAIR FEE = $375 / FACILITY use for piping, under -dispenser containment, ect. MISCELLANEOUS $ TRANSFER FEE _ $ 25 $ CONSULTATION FEE = $ 125/ HOUR $ UNAUTHORIZED RELEASE EVALUATION FEE = $ 1251 HOUR $ SAMPLING INSPECTION FEE = $ 125/ HOUR ALL FEES ARE BASED ON THE $125 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. TOTAL AMOUNT DUE $ OFFICE USE ONLY SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED EH 23 032 (REVISED 08/1/11 by KF)