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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: wwwsjgov orgJehd <br />Tracy Blvd Shell and Mini Mart Tanya Moore <br />FACILITY ADDRESS SITE PHONE* WITH AREA CODE <br />3725 N Tracy Blvd, Tracy CA 95376 (209-815-7608 <br />CITY SPATE ZIP CODE # i <br />Tracy CA 95204 <br />4 <br />Service Station Systems, Inc. Marty Weithman <br />PPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br />680 Quinn Ave. <br />ITY(408 213-6038 <br />STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRA <br />San Jose CA 95112 <br />5311561 <br />ACTIVE FACILITY -- <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2003-2008) <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2009) <br />$125 PER TANK AFTER FIRST TANK <br />2004 <br />2005 <br />2006 <br />2007 <br />200$ <br />2009 <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 Ins coons <br />TANK ID # (a): <br />TEMPORARY CLOSURE FEE _ $315 / FACILITY <br />INSTALLATION PLAN <br />(Plan Check and Const <br />TANK ID # (s) : <br />I ANK 1 U I (S)! <br />TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, $ 375 <br />s ill buckets sum misc. <br />PIPING REPAIR FEE = S315 ! FAt'.II ITV <br />