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RECEIVED <br />SAN 1aAQunv caurlTY is DEC 2015 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fare: (209)468-3433 Web: WWW.Sj —0mr-/eh ENVIRONMENTAL <br />=Blvd <br />FACILITY CONTACT NAME ENT <br />Mini Mart Tanya Moore <br />SITE PHONE # WITH AREA CODE <br />d Tracy, Ca. 209-845-7608 <br />CITY STATE ZIP CODE #>OF TANKS AT SITE <br />Stockton CA 95121 <br />_ 3 <br />Service Station Systems Marty Weithman <br />APPLICANT MAILtNt3 ADDRESS APPLICANT PHONE # W1TH AREACODE <br />680 Quinn Ave. <br />408 213-6038 <br />CITY STATE ZIP CODE CIRCLE WORK TO BE fiONE CONTRACTO <br />San Jose CA 95112 <br />® 485184 <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 />A <br />INSTALLATION PLAN <br />TANK ID # (s) : PLAN CHECK FEE $840 / FACILITY i " <br />REPAIR PLAN CHECK <br />TANK IU -# -(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 i in under dispenser containment, ed. <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 S10S HBURLY'RATE. TtUP 'rueT svAccnc <br />390 <br />