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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.ong/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Fast Lane Central Valley Robert Cabigas <br /> FACILITY ADDRESS SITE PHONES WITH AREA CODE <br /> 116 E Roth Rd. Lathrop CA 95330 (209-214-4341 <br /> CITY I STATE LP CODE #OF TANKS AT SITE <br /> Stockton CA 95204 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Service Station Systems, Inc. Marty Weithman <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE OWN AREA CODE <br /> 680 Quinn Ave. 408 213-6038 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> San Jose CA 95112 <br /> 0 8001468-UT <br /> ACTIVE FACILITY <br /> 2008 2009 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2003.2008) 2004 2005 2006 2007 <br /> $550 FEE INCLUDES FACILITY FEE h 1 TANK(2009) <br /> $125 PER TANK AFTER FIRST TANK $ <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE=$15/TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$21.00/FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID III(a): CLOSURE FEE=$3151 TANK III TANKS X$315= $ <br /> TEMPORARY CLOSURE <br /> Pian Review and Inspections) <br /> TANK ID#(a): TEMPORARY CLOSURE FEE=$315/FACILITY $ <br /> INSTALLATION PUN CHECK <br /> Plan Ch clk end ConsVuclion Inspections) <br /> TANK ID#(a): PLAN CHECK FEE=$840/FACILITY Is <br /> REPAIR PLAN CHECK <br /> TANK ID#(a): <br /> TANK RETROFIT REPAIR FEE =$315/FACILITYuse For monitoring $ <br /> ( 9 equipment,cold starts,EVR upgrades, 366 <br /> spill buckets sums mise. <br /> PIPING REPAIR FEE _$315/FACILITY fuse for piping,under-dispenw mnlainment,ect. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 $ <br /> CONSULTATION FEE = $ 105/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $ 105/HOUR $ <br /> SAMPLING INSPECTION FEE = $1051 HOUR $ <br /> ALL FEES ARE BASED ON THE$105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT, <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# I FACILITY ID I AMOUNT RECEIVED I CHECK# I RECEIVED BY I DATE RECEIVED <br /> SR <br /> EH 23032(REVISED 02/23109) <br />