Laserfiche WebLink
SAN 10 A Q U I N Environmental Health Department <br /> --- COUNTY <br /> FACILITY NAME FACILITY CONTACT NAME <br /> 7 - Eleven #32262 <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br /> 2360 W. Grant Line Rd . ( 209 ) 830- 9917 <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> Tracy CA 95377 3 <br /> APPLICANT BILLING NAME PPLIC N C NTACT NAM <br /> Walton En ineerin Inc . 9ara �i� a � lonsk - construction Manager <br /> APELIrgNNT M1AII�I ADDRESS APPPILIICAN37 ONE1 #6WITH AREA CODE <br /> CIITYYY �tjj UU �� STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> West Sacramento CA 95691 Closure InstallatioRe air Retrofit <br /> ACTIVE FACILITY <br /> UST FEES = $550 2014 2015 UST FEES 2016 UST FEES 2017 VPH UST FEES = 2018 $ <br /> (Facility+ 1st = $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 NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49 .00/ FACILITY $ <br /> PERMANENTCLOSURE <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 /> Spill buckets , sum s , misc.) 456 . 00 <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 $456 . 0 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED <br /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209468-34201 F 209464m0138 I www. sjcehd . com <br />