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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 <br />,s* ov.ore/ehd <br />Safeway Will Kaufman <br />FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br />1987 W 11th Street, Tracy CA 95376 209 8 0-2950 <br />CITY STATE ZIP CODE # i <br />Tracy 95376 <br />CA 3 <br />APPLICANT BILLING NAME APPLICANT CONTACT NAME <br />Service Station Systems, Inc. Mart Weithman <br />APPLICANT MAILING ADDRESS APPLICANT PHONE #WITH AREA CODE <br />680 Quinn Ave. <br />408 213-6038 <br />CITY STATE�95�112 <br />CIRCLE WORK TO BE DONE CONTRACTO. <br />San JoseE�H] CA <br />0 5261142 -UT <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 = $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 Inspections <br />CHECK FEE = <br />REPAIR PLAN CHECK <br />TANK ID # (s) <br />TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />s ill buckets sum s mist. <br />PIPING REPAIR FEE = $315 / FACILITY use for Piping, under-dis nser containment, act. <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 TIUF TueT evrerne eeee __ _ ___ _ <br />,v -I-AN I. <br /># <br />345 <br />$ <br />$ <br />$ <br />