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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.sjgov.ore/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Chevron Helen McCarty <br /> FACILITY ADDRESS SITE PHONE 1f WITH AREA CODE <br /> 1960 W 11 th St Tracy CA 95376 (209-816-3181 <br /> CITY STATE LP CODE #OF TANKS AT SITE <br /> Tracy CA 95376 <br /> 111— 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Service Station Systems, Inc. <br /> Martz Weithman <br /> APPLICANT MAILINGADDRESS APPLICANT PHONE#W1TH AREA CODE <br /> 680 Quinn Ave. <br /> 408 213-6038 <br /> CITY STATE I ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> San Jose CA 95112 0 <br /> 0 5258558-1 IT <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=$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 /> Pian Review and Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$315 i FACILITY $ <br /> LA <br /> INSTALLATION PN CHECK <br /> Plan Check and Construction Ins coons <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, $ <br /> s ill buckets sum misc. 345 <br /> PIPING REPAIR FEE =$315/FACILITY use for i in ,under-dispenser containment,ect. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE = 20 $ <br /> CONSULTATION FEE _ $105/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $105 i HOUR $ <br /> SAMPLING INSPECTION FEE = $1051 HOUR $ <br /> ALL FEES ARE BASED ON THE6 <br /> 105 <br /> HOURLY RATE. TIME THAT EXCEEDS FEES PAID WEIR BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK/ RECENED BY DATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 02P4M) <br />