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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.s' ov. r ehd <br /> FACILITY NAME TFAC]Fast Lane Gas(Central Valley) Cabigas <br /> FACILITY ADDRESS ONE#WITH AREA C116 E Roth Rd, Lathrop CA 95330 4-4341 <br /> CITY STATEE N OF TANKS AT SITE <br /> CA 5 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Able Maintenance, Inc Mart Weithman <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE N WITH AREA CODE <br /> 680 Quinn Ave. 408213-6038 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC N <br /> San Jose CA 95112 <br /> 0 5252032-UI <br /> ACTIVE FACILITY <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2003-2008) 2004 2005 2006 2007 2008 2009 <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2009) <br /> $125 PER TANK AFTER FIRST TANK $ <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE=$151 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#(a): CLOSURE FEE=$315/TANK #TANKSXS315= $ <br /> TEMPORARY CLOSURE <br /> Plan Review and Ins coons <br /> TANK ID If(a): TEMPORARY CLOSURE FEE_$315/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s) PLAN CHECK FEE_$8401 FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID#(a): <br /> TANK RETROFIT REPAIR FEE =$315/FACILITY (use for monitoring equipment,wld starts.EVR upgrades, $ <br /> s III buckets sum mis' <br /> . 366 <br /> PIPING REPAIR FEE _$315/FACILITY fuse for piping,under-dispenser containment,act.) $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 $ <br /> CONSULTATION FEE _ $105/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $ 1 D5l HOUR $ <br /> SAMPLING INSPECTION FEE _ $105/HOUR $ <br /> ALL FEES ARE BASED ON THE 5105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUESTN I FACILITY 10 AMOUNT RECEIVED I CHECK N RECENED BY DATE RECEIVED <br /> SR <br /> EH 23 0321REVISED 02/23/09) <br />