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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 Far:(209)468-3433 Web:www.sWov qM ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Shell <br /> Gloria <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 3725 N Tracy Blvd,Tracy 209-85-7608 <br /> CITYSTATE ZIP CODE. . #OF TANKS�SITE <br /> Tracy 95376 <br /> CA 4 <br /> APPLICANT BILLING NAME APPLI T CONTACT NAME <br /> Service Station Systems, Inc. Marty Weithman <br /> APPLICANT MAILING 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 ICC# <br /> San Jose CA 95112 <br /> 8028173 <br /> ACTIVE FACILITY <br /> $5D0 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=$24.001 FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK 10#(a): CLOSURE FEE_$3151 TANK #TANKS X$315= $ <br /> TEMPORARY CLOSURE <br /> Plan Review aril ins ctions <br /> TANK ID#(a): TEMPORARY CLOSURE FEE=$315/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Ins ctions <br /> TANK ID#(s).- PLAN CHECK FEE=$840/FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID#(a): <br /> TANK RETROFIT REPAIR FEE =$315/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, <br /> 01 twckets sum misc.) 375 <br /> PIPING REPAIR FEE _$315/FACILITYuse for i under-dis �r containment,ect. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE = 20 $ <br /> CONSULTATION FEE _ $105/HOUR $ <br /> UNAUTHORIZED RELEASEEVALUATIONFEE = $106/HOUR T- <br /> -SAMPLING INSPECTION FEE = $1051 HOUR $ <br /> ALL FEES ARE BASED ON THE$105 HOURLY'RATE. TIME THAT EXCEEDS FEES PAID VALL BE BILLED TO APPLICANT, <br /> OFFICE USE ONLY <br /> SERVICE RECiUES # FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED t3Y DATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 02123100) <br />