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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.sigov.org/ehd <br /> v.org/ehd <br /> FACILITY NAME EFACILITY CONTACT NAME <br /> Arco 5450 istar <br /> FACILITY ADDRESS ONE#WITH AREA CODE <br /> 1617 W. Fremont Street 209-462-1617 <br /> CITY STATE I ZIP CODE I #OF TANKS AT SITE <br /> Stockton I CA 195203 13 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Gettler-Ryan Inc. Randy Brown <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 6747 Sierra Court Suite J 25-551-7555 <br /> CITY STATE I ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Dublin lGa 194558 Closure Installation Repair Retrofit <br /> ACTIVE FACILITY <br /> 2006 2007 2008 2009 2010 2011 <br /> $500 F L I CLi.D❑S FACILI❑❑F❑❑❑1 A❑❑r2006-2007❑ <br /> $550 F 7❑1_!CL 1D--'S FACILI F: 1 L 1 -AFL X005-2011 $ <br /> $125 PLR❑A❑C'AF❑❑R FIRS❑ ❑ <br /> iA❑ <br /> $ <br /> ,:AL---]P ❑Al- ASS--SS-ID <br /> $ <br /> 'A- .S�IRC❑ARG❑i-$15❑A <br /> $ <br /> SAi,_S❑RC❑ARG❑F❑R FACILI❑1 IS Dr,❑ALR: AD: I R Ii;AC❑PA PR❑GRAM ❑$49.00LIFACILI <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place❑ <br /> $ <br /> A❑❑ID#[a❑❑ CL❑iS❑R❑F❑❑❑$375❑A❑❑ #,JAL;❑S $375 <br /> TEMPORARY CLOSURE <br /> Man Review and Ins ections <br /> $ <br /> ❑A❑❑I D# ❑❑ ❑❑MP❑RAR-CL❑Sf RL.FC❑❑$375 CfACILI❑❑ <br /> INSTALLATION PLAN CHECK <br /> Tian Cock and Construction Ins ections❑ <br /> $ <br /> ❑A❑❑ID#i"8❑❑ PLA❑C❑❑C❑F❑❑ ❑$1,000 EFACILIEE.. <br /> REPAIR PLAN CHECK 87 slave tank probe replacement Confirmation #A54056 <br /> ❑A❑❑ID#is 00 87 Slave ❑ank Probe <br /> $ <br /> CA_1❑R,-jr R..FI❑R❑PAIR F❑❑ 1-J$375 ITACILI❑❑ Else for monitoring eEuipment,cold starts, ❑❑R upgrades, <br /> spill buckets,sumps,miser❑ <br /> PIPI❑G R❑PAIR F❑❑ii$375 EFACILI❑❑ rinse for piping,under-dispenser containment,ect.❑ $375 <br /> MISCELLANEOUS <br /> ❑RA❑SFi R F❑❑ ❑ $25 $ <br /> C❑❑S❑LA❑1❑❑F❑❑ ❑ $125Flo❑❑R $ <br /> ❑❑A❑❑❑❑RI❑❑D R�iL❑AS❑❑❑AL❑A�71i❑F❑❑ ❑ $125❑❑❑❑R $ <br /> SAMPLI❑G I❑SP❑C❑I❑❑F❑❑ ❑ $125❑1j❑❑R $ <br /> ALL FEES ARE BASED ON THE$125 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $ <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIVED <br /> EH 23 032(REVISED 0811111 by KF) <br />