Laserfiche WebLink
ulfv <br /> Pam- SAN 10 A Q U I N Environmental Health Department <br /> COUNTY --- <br /> 11 � FU� a`4 '' Grentnoss grows here . <br /> FACILITY NAME Tracy 76 FACILITY CONTACT NAME <br /> Praveen Parashar <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br /> 2420 W. Grantline Rd ( 209 830- 1139 <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> Tracy CA 195337 3 <br /> APPLICANT BILLING NAME Ojeda <br /> APPLICANT CONTACT NAME Olivia O ' <br /> ElitelV Contractors <br /> APPLICANT MAILING ADDRESSJPWigwam Dr WANT 8014%jr AREA CODE <br /> CITY STATE 96 dgDE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> Stockton CA L Closure Installation Repair Retrofit <br /> ACTIVE FACILITY <br /> UST FEES = $550 2014 2015 UST FEES 2016 UST FEES 2017 VPH UST FEES = 2018 $ <br /> (Facility+ l st = $583 = $641 $961 Facility + <br /> Tank) + $ 130/Tank Facility + Facility + $228/Tank <br /> after 1st $ 139/Tank $152/Tank <br /> Double Wall & 1702 $ <br /> Compliant UST <br /> FEES = $680 <br /> Facility + $228/Tank <br /> Tank Penalty $ <br /> Assessed for <br /> Unreported Tanks <br /> (Based on Annual <br /> Permit Fees <br /> TANK SURCHARGE _ $201 TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOTALREADY ON INVENTORY IN A CUPA PROGRAM =$49 .00/ FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID # (s) : CLOSURE FEE = $456 / TANK # TANKS X $456 = $ <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID # (s) : TEMPORARY CLOSURE FEE = $456 / FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID # (s) : PLAN CHECK FEE _ $3 , 040 / FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID # (s) : <br /> TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment, Cold starts, EVR upgrades , ($ ° <br /> Soil[ buckets , sum s , mist. 1 <br /> PIPING REPAIR FEE _ $456 / FACILITY use for piping, under-dispenser containment, etc. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $ 25 $ <br /> CONSULTATION FEE _ $ 152/ HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $ 152 / HOUR $ <br /> SAMPLING INSPECTION FEE _ $ 152/ HOUR $ <br /> FEES ARE BASED ON THE $152 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT, <br /> TOTAL AMOUNT DUE $ <br /> OFFICE USE ONLY j <br /> SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED <br /> I <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 I F 209 464-0138 1 www. sjcehd . com <br />