Laserfiche WebLink
9255517888 Line :32:57 06-12-2013 4/11 <br />0 40 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax (5" floor): (209) 468-3433 Web..wwwARov.org/ehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />ARCO 5450 <br />UDDY MCKENZIE <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />1617 W FREMONT/1-5 <br />209 462.1617 <br />CITY <br />I STATE ZIP CODE <br /># OF TANKS AT SITE <br />STOCKTON <br />CA 95203 <br />CA <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Gettler Ryan Inc. <br />UDDY MCKENZIE <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />6747 6747 Sierra Court, Suite J <br />209 462.1617 <br />CITY <br />STATE <br />I ZIP CODE <br />CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />Dublin <br />CA <br />94568 <br />Closure Installation Repair Retrofit I CHRIS REEVE6 <br />ACTIVE FACILITY <br />TANK ID # (s): 7 <br />CLOSURE FEE= $279 /.TANK <br />2000 <br />2001 <br />2002 <br />2003 <br />2004 <br />2005 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 93 / HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 93/ HOUR <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE = $15 / TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY INA CUPA PROGRAM = 24.00/ FACILITY <br />PERMANENT -CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): 7 <br />CLOSURE FEE= $279 /.TANK <br /># TANKS X $279 - <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : TEMPORARY CLOSURE FEE = $2791 FACILITY <br />and Construction <br />TANK ID # <br />'ACILITY <br />REPAIR PLAN CHECK <br />TANK ID# (s): <br />t^ <br />TANK RETROFIT REPAIR FEE = $279 / FACILITY use for monitoring equipment, spill buckets, tank sumps, misc. <br />$ <br />PIPING REPAIR FEE = $279 /FACILITY use for piping, under -dispenser containment, ect. <br />$ <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE = $ 20 <br />$ <br />CONSULTATION FEE _ $ 93/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 93 / HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 93/ HOUR <br />ALL rEE3 ARE BASED UN IHE W3 HUUKLY HATE, TIRE THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />OFFICE USE ONLY <br />SERVICE REQUEST # FACILITY ID I AMOUNT RECEIVED CHECK # RECEIVED BY I DATE RECEIVED <br />,SR <br />EH 23 032 (REVISED 02!22/06) <br />