COMPLIANCE INFO_2007-2013 - Laserfiche WebLink

Home Browse Search

SAN JOAQUIN COUNTY 46 ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sj og v.or /g ehd FACILITY NAME FACILITY CONTACT NAME CLOSURE FEE = $315 / TANK 2003 FACILITY ADDRESS SITE PHONE # WITH AREA CODE 2006 2007 CITY STATE ZIP CODE # OF TANKS AT SITE CONTRACTOR ICC # CA APPLICANT BILLING NAME APPLICANT CONTACT NAME CLOSURE FEE = $315 / TANK 2003 APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE 2006 2007 CITY STATE7 ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # Closure Installation Repair Retrofit ACTIVE FACILITY TANK ID # (s): CLOSURE FEE = $315 / TANK 2003 2004 2005 2006 2007 2008 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2002-2007) PIPING REPAIR FEE _ $315 / FACILITY (use for piping, under -dispenser containment, ect.) SAMPLING INSPECTION FEE _ $ 105/ HOUR $550 FEE INCLUDES FACILITY FEE + 1 TANK (200,881, $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 =$24.00/ FACILITY PERMANENT CLOSURE Removal or Permitted Closure in Place TANK ID # (s): CLOSURE FEE = $315 / TANK # TANKS X $315 = TEMPORARY CLOSURE Plan Review and Inspections) TANK ID # (s) : TEMPORARY CLOSURE FEE = $315 / FACILITY INSTALLATION PLAN CHECK (Plan Check and Construction it TANK ID # (s) : I PLAN CHECK FEE = $840 / FACILITY REPAIR PLAN CHECK TANK ID#(s): TRANSFER FEE _ $ 20 TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, spill buckets, sumps, misc. PIPING REPAIR FEE _ $315 / FACILITY (use for piping, under -dispenser containment, ect.) MISCELLANEOUS TRANSFER FEE _ $ 20 CONSULTATION FEE _ $ 105/ HOUR UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR SAMPLING INSPECTION FEE _ $ 105/ HOUR ALL FEES ARE BASED ON THE $105 HOURLY RATE. TIME THAT EXCEEUS FEE5 PAIL) WILL Bt L31LLtu I u AI C�7y3C��l�y�i7�lA/ SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED SR EH 23 032 (REVISED 7/18/08)