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SAN JOAQUIN COtiNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Far: (209)468-3433 Web:www.sogov.org/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Arco 2186 Scott Listar <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 3212 N California Street 209-941-2694 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> Stocktoin I CA 95204 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Gettler-Ryan Inc. Randy Brown <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 6747 Sierra Court Suite J P16-826-6828 <br /> CITY STATE I ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> lCa 194568 Closure Installation Repair Retrofit <br /> ACTIVE FACILITY <br /> 2006 2007 2008 2009 2010 2011 <br /> $500 INCL❑D❑S a4CILIT❑❑❑❑111 TAN❑12006-2007 <br /> $550 INCL❑D❑S❑ACILITLI❑❑❑❑1 TAN' 2008-2011 <br /> $125P R TAN❑A❑T❑R❑IRST TAN❑ $ <br /> TAN P7NALT❑ASSoSS❑D <br /> TAN❑S❑RC❑ARG❑❑$15 aAN❑ <br /> STAT-S-RC-ARG-'AOR-ACILITI-S NOT ALR-AD ON IN--NTOR❑INA C PA PROGRAM $49.00 ACILIT <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TAN''ID#-S-" CLOS R 0❑❑❑$375 C1TAN❑ #TAN OS-$375 <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections <br /> TAN ID# s T❑MPORAR❑CLOS❑R❑❑❑❑Li$375 -LACILITi , <br /> INSTALLATION PLAN CHECK <br /> Plan C eck and Construction Inspections <br /> TAN ID# s PLAN C C $1,000 ACILIT <br /> REPAIR PLAN CHECK 91 STP Sump —aulty Sensor Confirmation # A45628 <br /> TAN❑ID# s <br /> TAN❑R❑TRO-IT R PAIR❑❑❑ ❑$375 MACILIT use for monitoring a uipment,cold starts. R upgrades, <br /> spill buckets,sumps,misc. <br /> PIPING R❑PAIR i-" $375 ACILIT- use for piping, under-dispenser containment,ect. $375 <br /> MISCELLANEOUS <br /> TRANS R ❑ $25 $ <br /> CONS❑LTATION Ei❑❑ ❑ $125 O R $ <br /> ❑NA❑TOORI❑❑D R-,La4S❑Ci[]AL 'ATION❑G_ $125 -_-O-R $ <br /> SAMPLING INSP CTION $ 125m0❑R $ <br /> ALL FEES ARE BASED ON THE$125 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $ <br /> OFFICE USE ONLY <br /> [SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIVED <br /> EH 23 032(REVISED 08/1/11 by KF) <br />