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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME)o <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> Telephone. (209)468-3420 Fax.-(209)468-3433 Web:www.Sjgov.ore/ehd AUG 2 7 2015 <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Unocal 76-#255886 Darren eppler '-Nmo-Nmw <br /> FACILITY ADDRESS SITE PHONE4 WITH AREA CODE "--77197 NJT <br /> 2701 March Lane, Stockton CA 95219 <br /> (209-4j3-7337 <br /> CITY STATE ZIP CODE jV0—FTANKS AT SITE <br /> Stockton CA 95237 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Service Station Systems, Inc. Marty Weithman <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA COD <br /> 680 Quinn Ave. (408 )213-6038 <br /> CITY FSTATE ZIPCODECIRCLE WORK TO BE DONE CONTREACTORICC# <br /> San Jose CA 5 0 <br /> 95112 E E5258 60 <br /> ACTIVE FACILITY <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2003-2008) 2004 2005 2006 20-07 2008 2009 <br /> $550 FEE INCLUDES FACILITY FEE+I 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): $3T5/TANK -#TANKS X$315 <br /> TEMPORARY CLOSURE <br /> (Plan Review.and Insp2ations) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE $315 FACILITY <br /> INSTALLATION PLAN CHECK <br /> (Plan Check and Construction Inspections) <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, $ 390 <br /> spill buckets,sumps,misc. <br /> PIPING REPAIR FEE $315/FACILITY use for plpi2q.under-dispenser containment,ect.) $ <br /> MISCELLANEOUS <br /> TRANSFER FEE = §20 <br /> CONSULTATION FEE $105/HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $ 1051 HOUR $ <br /> SAMPLING INSPECTION FEE = $105/HOUR $ <br /> ALL FEES ARE BASED ON THE$105 HOURLY RATE. TIME THAT EXCEEDS FEES PAD WILL BE BILLED To APPLICA-N-T—, <br /> OFFICE USE ONLY <br /> SERVICE REOUEST# FACILITY to AMOUNT RECEIVED I CHECK# -- RECEIVED BY DATE RECEIVED <br /> SR 1 1, <br /> EH 23 032(REVISED 02/23109) <br />