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SAN JOAQUIN COLRVTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 Last Main Street,Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Far:(209)468-3433 Web:wwwAjxov.org/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> WOODBRIDGE AMPM <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 18806 LOWER SACRAMENTO ROAD 925 551-7555 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> WOODBRIDGE CA 95258 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> GETTLER-RYAN,INC Liddy McKenzie(CONTRACTOR) <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> M59ERRA COURT.SurMU 925 551-7555 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR JCC# <br /> DUBL(N CA 94568 Closure Installation Repair etrofi 220793 <br /> ACTIVE FACILITY <br /> 2004 2005 2006 2007 2008 2009 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2004-2007) <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2008-2009) $ <br /> $125 PER TANK AFTER FIRST TANK <br /> TANK PENALTY ASSESSED <br /> TANK SURCHARGE=S151 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=$3151 TANK I #TANKS X$315= <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> $ <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$315 1 FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s): I PLAN CHECK FEE_$840 1 FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s) <br /> $ <br /> TANK RETROFIT REPAIR FEE =$3t5/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, 390 <br /> s ill buckets,sum s,mist. <br /> $ <br /> PIPING REPAIR FEE _$3111 FACILITY (use for i in ,under-dispenser containment,act. <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 <br /> CONSULTATION FEE . $1051 HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $1051 HOUR <br /> SAMPLING INSPECTION FEE $1051 HOUR <br /> ALL GEES ARE BASED ON THE Si US HOURLY RATE.TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST 11 1 FACILITY ID I AMOUNT RECEIVED CHECK Y RECEIVED BY DATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 03120100) <br /> I <br />