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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.sj ov.or ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Shell(Tesoro) Mary Morgan <br /> FACILITY ADDRESS SITE PHONE*WITH AREA CODE <br /> 2448 W Kettleman Lane, Lodi, Lockeford CA 95242 209-3 9-3124 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> Lockeford 95237 <br /> CA 3 <br /> APPLICANT BILLING NAME I APPLICANT CONTACT NAME <br /> Able Maintenance, Inc Marty Weithman <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 680 Quinn Ave. <br /> 408 213-6038 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> San Jose CA 95112 0 <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): TEMPORARY CLOSURE FEE=$315/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Pian Check and Construction Ins coons <br /> TANK ID#(s): PLAN CHECK FEE_$840/FACILITY $ <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,misc. 366 <br /> PIPING REPAIR FEE =$315/FACILITY use for i in ,under-dispenser containment,act. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE = 20 APLICANTJ CONSULTATION FEE = $ 105/HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $ 105/HOUR <br /> SAMPLING INSPECTION FEE = $105/HOUR <br /> ALL FEES ARE BASED ON THE$105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL SE EBILLED T . <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK/ RECEIVED BY DATE RECEIVED <br /> SR <br /> EN 23 032(REVISED 02/27108) <br />