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SAN JOAQUIN COUNTY is <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax;(209)468-3433 Web:www.sjgov.orrkhd <br /> FACILITY NAME FACILITY GOkTACT NAME <br /> Chevron manager <br /> FACILITY ADDRESS SITE PHONE if WITIi AREA CODE <br /> 4344 Waterloo Rd (209-931-2186 <br /> CITY STATE ZIP CODE --XOF TANKS AT SITE <br /> Stockton CA 65215 <br /> unknown <br /> APPLICANT BILLING NAME APPLICANT.CONTACT NAME <br /> Service Station Systems, Inc Mart Weithman <br /> APPLICANT MAILING ADDRESS APPUCA14T PHONE#IMITH AREA CODE <br /> 680 Quinn Ave. 408 213-6038 <br /> CITY I STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC N <br /> San Jose CA 95112 D 0 8028164-UT <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 /> TANK SURCHARGE=$151 TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM=$24.001 FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID.#(s): CLOSURE FEE=13151 TANK #TANKS X$315= $ <br /> TEMPORARY CLOSURE <br /> Plan Review and fns coons <br /> TANK ID#(s): TEMPORARY CLOSURE FEE=$315/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Pian 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 =$3151 FACILITY (use for monitoring equipment,cold starts,EVR upgrades, $ 345 <br /> s ill buckets sum misc. <br /> PIPING REPAIR FEE _$3151 FACILITY use for ,undar-elknAnser containment,ea. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE = 20 $ <br /> CONSULTATION FEE = $105/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $1051 HOUR $ <br /> SAMPLING INSPECTION FEE = $i05/HOUR $ <br /> ALL FEES ARE BASED ON THE 1105 HOURLY RATE.TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT, <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID T AMOUNT RECEIVEDHECK N RECENED BY�—tDATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 0212:11-M) <br />