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SANsJ 0AQ U [ N Environmental Health Department <br />—COUNTY— <br />Lr,fr Greatness grows here. <br />UNDERGROUND STORAGE TANK FEE WORKSHEET <br />FACILITY NAME DATE <br />United Pacific # 5447 8116121 <br />FACILITY ADDRESS CITY STATE ZIP CODE <br />1469 East Hammer Lane Stockton I CA 95210 <br />SERVICE REQUEST (CHOOSE GNE) <br />FEE SUBTOTAL <br />Retrofit/Repair–Full Permit <br />$456* <br />Retrofiit/Repair–MinorPlanCheck <br />$152* $152.00 <br />Tank Lining <br />$456* per tank** lined <br />Temporary Closure <br />$456* <br />Permanent Tank Closure - Removal <br />$458* per tank** removed <br />Permanent Tank Closure –Closure in Place <br />$456* per tank** closed in place <br />Tank Installation <br />$3040* <br />ADDITIONAL FEES <br />FEE SUBTOTAL <br />`Failure to Obtain a Permit' Penalty <br />$456 <br />CERS Consultation <br />$952* <br />New Owner Consultation <br />$152 <br />ANNUAL CUPA OPERATING PERMITS <br />(FOR NEW INSTALLATIONS — ALL APPLY) <br />FEE SUBTOTAL <br />(PAID PRIOR TO FINAL APPROVAL) <br />Hazardous Waste Generator <br /><5 tonslyr $249 (if a5 tonslyr, varies) <br />Hazardous Materials Business Plan (HMBP) <br />Common $81 or Regular $279 <br />HMBP Chemical Fee <br />$17 per chemical <br />Underground Storage Tank - Facility <br />$1,582 (installed July 2004 or later) <br />Underground Storage Tank -Tank <br />$250 per tank** <br />State Facility Surcharge <br />State Tank Surcharge <br />$49 <br />$20 per tank`* <br />CERS Processing Fee <br />$30 <br />TOTAL AMOUNT DUE $ 152.00 <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 512412021 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/ehd <br />UNREPORTED TANK FEES <br />(ORIGINAL ANNUAL FEES, LISTED BELOW, WILL BE DOUBLED) <br />SUBTOTAL <br />2016 <br />$583 (facility) + $139 per tank" <br />x2 <br />2017 <br />$641 (facility) + $152 per tank'* <br />x2 <br />2018 <br />$961 post -July 2004 or $680 pre -July 2004 (facility) + $228 per tank** <br />x2 <br />2019 <br />$961 post -July 2004 or $680 pre -July 2004 (facility) + $228 per tank** <br />x2 <br />2020 <br />$1582 post -July 2004 or $982 pre -July 2004 (facility) + $250 per tank** <br />x2 <br />TOTAL AMOUNT DUE $ 152.00 <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 512412021 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/ehd <br />