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�ft.e SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Far:(209)468-3433 Web:www.sigov.org/chd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Costco Retail Fueling Facility Loc. No. 658 Dennis Bock <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 3250 West Grant Line Road 1 425 1 313-8100 <br /> CITY ISTATE LP CODE #OF TANKS AT SITE <br /> Tracy CA 95377 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Costco Wholesale c/o <br /> Bar hausen Consulting Engineers, Inc. Alexia Dorsch <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 1821S - ?2nd Avenue South if 425 251-6222 <br /> CITY STATE LP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Kent WA 98032 Closure Installation Repair etrofi <br /> ACTIVE FACILITY <br /> 2003 2004 2005 2006 2007 2008 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2002-2007) <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2008) $ <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=$24 001 FACILITY <br /> PERMANENTCLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID#(s): CLOSURE FEE=$2941 TANK #TANKS X$294= $ <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID#(s), TEMPORARY CLOSURE FEE_$294/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s): PLAN CHECK FEE=$784/FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> $ 294.00 <br /> TANK RETROFIT REPAIR FEE _$294!FACILITY (use for monitoring equipment,cold starts,EVR upgrades, <br /> spill buckets,sumps,mist. <br /> PIPING REPAIR FEE _$294/FACILITY (use for piping,under-dispenser Containment,ect.) $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 $ <br /> CONSULTATION FEE = $981 HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $98/HOUR $ <br /> SAMPLING INSPECTION FEE = $98/HOUR $ <br /> ALL FEES ARE BASED ON THE$98 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# I FACILITY IO AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIVED <br /> SR <br /> EH 23 032)REVISED 12/31107) <br /> 10050.002.pdf <br />