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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME' <br /> 36.,,.,�ast Weber Avenue,3d Floor,Stockton,CA 9' . -2708 <br /> Telephone.,(209)468-3420 Fax(P floor):(209)468-3433 Web:www.sjgov.ore/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Costco Wholesale Shea <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 3250 Grantline Road 209-830-5343 <br /> CITY STATE ZIP CODE I #OF TANKS AT SITE <br /> Tracy CA 95376 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Central Petroleum Maintenance Kathleen Henshaw <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> P.O.Box 211 925 462-4060 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Pleasanton CA 94566 Closure Installation � Retrofit 5252156-U1 <br /> ACTIVE FACILITY <br /> 2001 2002 2003 2004 2005 2006 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK <br /> $125 PER TANK AFTER FIRST TANK $ <br /> $ <br /> TANK PENALTY ASSESSED <br /> $ <br /> TANK SURCHARGE=$15/TANK <br /> $ <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 /> $ <br /> TANK ID#(s): CLOSURE FEE=$285/TANK #TANKS X$285= <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> $ <br /> TANK ID#(a): TEMPORARY CLOSURE FEE=$285/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> $ <br /> TANK ID#(a): PLAN CHECK FEE=$760/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s):87A <br /> $285 <br /> TANK RETROFIT REPAIR FEE =$285/FACILITY use for monitoring equipment,s ill buckets,tank sumps,misc. <br /> $ <br /> PIPING REPAIR FEE _$285/FACILITY use for piping, under-dispenser containment,ed. <br /> MISCELLANEOUS <br /> $ <br /> TRANSFER FEE _ $20 <br /> $ <br /> CONSULTATION FEE _ $95/HOUR <br /> $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $95/HOUR <br /> SAMPLING INSPECTION FEE _ $95/HOUR <br /> ALL FEES ARE BASED ON THE$95 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# I CHECK# RECEIVED BY DATE RECEIVED <br /> SR <br /> FM 9%ni9 IDFV16Fn RWIRMAW <br />