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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.-} ov.ore/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Chevron <br /> manager <br /> FACILITY ADDRESS SITE PHONE#WITPI AREA CODE <br /> 4344 Waterloo Rd (209-911-2186 <br /> CITY STATE ZIP CODE. 1!3 F�TA�NK�SAT SITE. <br /> Stockton CA 95215 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Service Station Systems, Inc. <br /> Marty Weithman <br /> APPLICANT MAtLING 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 BCC# <br /> San Jose CA 95112 <br /> 5258558-UT <br /> ACTIVE FACILITY <br /> $510 FEE INCLUDES FACILITY FEE+1 TANK(2(003-2008) 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#(a): CLOSURE FEE=$3151 TANK #TANKS X$315= $ <br /> TEMPORARY CLOSURE <br /> (Plan Review and In ctions <br /> TANK ID#(a): 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, $ 345 <br /> spill buck-#- -'rmps,mise. <br /> PIPING REPAIR FEE =$315/FACILITY Use for ,under-dis s-r containment,ect. $ <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$105 HOURLY RATE.TIME THAT EXCEEDS FEES PAID WILL SE BILLED� PPLIC�ANT ��� <br /> OFFICE USE ONLY <br /> OfikOGE REQUEST#f FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED t3Y DATE REt;EIVED <br /> SR <br /> EH 23 032(REVISED 02/23108) <br />