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SAN JOAQUIN COUNTY <br />ENVIRONMF.NTAI.NEALTH DEPARTMENT JUN 10 2016 <br />1868 E. Hazelton Ave., Stockton, CA 95205-6232 <br />Telephone. (209) 468-3420 Fa (209) 468-3433 Web: www.s'cehd.com I« <br />FACILITY NAME <br />Quik Stop Markets <br />FACILITY CONTACT NAME <br />Sangram Singh <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />1580 W. Main St. <br />599-4261 <br />CITY <br />STATE ZIP CODE # OF TANKS AT SITE <br />Ripon <br />CA 95366 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Elite IV Contractors <br />Kim White <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />2535 Wigwam Dr. <br />20 461-6337 <br />CITY STATE <br />ZIP CODE CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />Closure Installation Repair Retrofit <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $3901 TANK <br />2009 <br />2010 <br />2011 <br />2012 <br />2013 <br />2014 <br />$ <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser containment, act. <br />1 <br />$130 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 =$35.001 FACILITY <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): <br />CLOSURE FEE = $3901 TANK <br /># TANKS X $390 = <br />TEMPORARYCLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $390 / FACILITY <br />INSTALLATION PLAN CHECK <br />Plan Check and Construction Inspections) <br />TANK ID # (s) : PLAN CHECK FEE = $1040 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (a): <br />$ <br />CONSULTATION FEE = $ 1301 HOUR <br />$ <br />TANK RETROFIT REPAIR FEE = $390 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />39Q.00 <br />spill buckets, sumps, misc. <br />$ <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser containment, act. <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 25 <br />$ <br />CONSULTATION FEE = $ 1301 HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 1301 HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 130/ HOUR <br />$ <br />FEES ARE BASED ON THE $130 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />TOTAL AMOUNT DUE•1 til <br />