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Environmental Health Department <br /> SAN 10 A Q U I N <br /> ----- COU N T Y -- ---- <br /> UNDERGROUND STORAGE TANK FEE WORKSHEET <br /> FACILITY NAME DATE <br /> Ernies General Store 5/25/2021 <br /> FACILITY ADDRESS CITY STATE ZIP CODE <br /> 4407 E . Waterloo Stockton CA 95215 <br /> SERVICE REQUEST (CHOOSE oNEI FEE SUBTOTAL <br /> Repair/Retrofit — Full Permit $456* 456 . 00 <br /> Repair/Retrofit — Minor Plan Check $ 152* <br /> Tank Lining $456* per tank** lined <br /> Temporary Closure $456* <br /> Permanent Tank Closure - Removal $456* per tank** removed <br /> Permanent Tank Closure — Closure in Place $456* per tank** closed in place <br /> Tank Installation $3040* <br /> ANNUAL CUPA OPERATING PERMITS FEE SUBTOTAL <br /> (FOR NEW INSTALLATIONS ONLY - ALL APPLY) <br /> Hazardous Waste Generator <5 tons/yr $249 (if z5 tonslyr, varies) <br /> Hazardous Materials Business Plan ( HMBP) Common $81 or Regular $279 NOT COLLECTED IN ADVANCE <br /> HMBP Chemical Fee $ 17 per chemical NOT COLLECTED IN ADVANCE <br /> Underground Storage Tank - Facility VPH $ 1 , 582 <br /> Underground Storage Tank - Tank $250 per tank** <br /> State Facility Surcharge $49 <br /> State Tank Surcharge 1 $20 per tank** <br /> CERS Processing Fee $ 30 NOT COLLECTED IN ADVANCE <br /> ADDITIONAL FEES FEE SUBTOTAL <br /> ' Failure to Obtain a Permit' Penalty $456 <br /> CERS Consultation $ 152* <br /> New Owner Consultation $ 152 <br /> UNREPORTED TANK FEES SUBTOTAL <br /> (ORIGINAL ANNUAL FEES, LISTED BELOW, WILL BE DOUBLED) <br /> 2015 $550 (facility + 19' tank) + $ 139 per tank** after 1St x2 <br /> 2016 $583 (facility) + $ 139 per tank** x2 <br /> 2017 $641 (facility) + $ 152 per tank** x2 <br /> 2018 VPH $961 or non-VPH $680 (facility) + $228 per tank** x2 <br /> 2019 VPH $961 or non-VPH $680 (facility) + $228 per tank** x2 <br /> TOTAL AMOUNT DUE $ 456 . 00 <br /> * FEES ARE BASED ON THE $152 HOURLY RATE, TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> *" EACH COMPARTMENT IN A SPLIT TANK IS COUNTED AS A SEPARATE TANK. <br /> REVISED 8/28/2020 <br /> 1868 E , Hazelton Avenue I Stockton , California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd . com "' <br />