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0 'd <br />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: WAW.sXov.org/ehd JUL 2 9 2016 <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />Tracy Blvd Shell and Mini Mart <br />Tanya Moore <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />3725 N Tracy Blvd, Tracy CA 95376 <br />(209-815-7608 <br />CITY <br />I STATE <br />ZIP CODEI #AF TANKS AT SITE <br />Tracy <br />CA <br />95376 4 <br />APPLICANT BILLING NAME <br />APPLICANT. CONTACT NAME <br />Service Station Systems, Inc. <br />Marty Weithman <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />680 Quinn Ave. <br />408- 213-6038 <br />CITY <br />STATE ZIP CODECIRCLE <br />WORK TO SE DONE <br />CONTRACTOR ICC # <br />San Jose <br />CAI'll <br />95112 <br />I <br />$ <br />TANK PENALTY ASSESSED <br />5297793 <br />0 <br />ACTIVE FACILITY <br />TANK ID # (s): CLOSURE FEE = $3151 TANK TTANKS�$315 <br />= <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2003-2008) <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008) <br />$125 PER TANK AFTER FIRST TANK <br />2004 <br />2005 <br />2006 <br />2007 <br />2008 <br />2009' <br />$ <br />$ <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $151 TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A, CUPA PROGRAM =$24.001 FACILITY <br />$ <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): CLOSURE FEE = $3151 TANK TTANKS�$315 <br />= <br />TEMPORARY CLOSURE <br />Plan Review and Ins cGons <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $315 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s} <br />$ <br />TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />spill buckets sums misc. <br />$ 390 <br />PIPING REPAIR FEE = $315 1 FACILITY use for piping, under -dispenser containment, act. <br />$ <br />MISCELLANEOUS' <br />TRANSFER FEE = 20 <br />$ <br />CONSULTATION FEE = $105/HOUR <br />$` <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />$' <br />SAMPLING INSPECTION FEE = $ 1051 HOUR <br />ALL FEES ARE BASED ON THE S10S MURLY R®TF TWATWAT =V CCn* UCCO nAM _ _ <br />$ <br />