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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sigov.org/ehd <br />FACILITY NAME FACILITY CONTACT NAME <br />Chevron <br />Pauline <br />FACILITY ADDRESS SITE PHONEIN WITH AREA CODE <br />10858 Trinity Parkway, Stockton CA 95219 <br />209-9 2-2213 <br />CITY TC <br />TATE ZIP CODE # i <br />Stockton <br />A 3 <br />,PPLICANT BILLING NAME APPLICANT CONTACT NAME <br />Able Maintenance, Inc Mart Weithman <br />PPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br />680 Quinn Ave. <br />408 213-6038 <br />ITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRAi <br />San Jose CA 95112 0 Di 5252032 <br />ACTIVE FACILITY <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2003-2008) <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2009) <br />$125 PER TANK AFTER FIRST TANK <br />2004 <br />2005 <br />2006 <br />2007 <br />2008 <br />2009 <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24.00/ FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # s CLOSURE FEE _ $315 /TANK # TANKS X $315 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $315 / FACILITY <br />INSTALLATION PLAN CHECK <br />(Plan Check and Construction Ir <br />TANK ID # (s) : <br />CHECK FEE = $840 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />TANK RETROFIT REPAIR FEE = $315 1 FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />spill buckets, sumps, misc. <br />PIPING REPAIR FEE = $315 / FACILITY use for pi2in2, under -dispenser containment, ect. <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE _ $ 105/ HOUR <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />SAMPLING INSPECTION FEE _ $ 105/ HOUR <br />ALL FEES ARE BASED ON THE 5105 HOURLY RATE. TIME THAT =EXCEE=DSFECS =PAID WILL =BEBILL=FDTO APPLICANT. <br />375 <br />)FFICE USE ONLY <br />;ERVICE REQUEST # I FACILITY ID AMOUNT RECEIVED I CHECK # RECEIVED BY DATE RECEIVED <br />)R <br />H 23 032 (REVISED 02/23109) <br />