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SAN J O A Q U I N Environmental Health Department <br /> -- COUNTY -- <br /> Gronfnoq ornv, herr . <br /> FACILITY NAME FACILITY CONTACT NAME Daryl Lee , Retail Compliance Coord . <br /> ARCO am/pm Fuel Facility FAC #7049 BP West Coast Products , LLC <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br /> 800 East Kettleman Lane ( 209 ) 334-3678 <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> Lodi CA 95240 4 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> BP West Coast Products , LLC Daryl Lee , Retail Compliance Coordinator <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> P . O . Box 6038 415 902 . 5089 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> Artesia CA 90702 Closure nstallation Repair Retrofit 5275557 <br /> ACTIVE FACILITY <br /> UST FEES = $ 550 2014 2015 UST FEES 2016 UST FEES 2017 VPH UST FEES = 2018 $ <br /> ( Facility+ 1st = $ 583 = $ 641 $961 Facility + <br /> Tank ) + $ 130/Tank Facility + Facility + $228/Tank <br /> after 1st $139/Tank $ 152/Tank <br /> Double Wall & 1702 $ <br /> Compliant UST <br /> FEES = $680 <br /> Facility + $228/Tank <br /> Tank Penalty $ <br /> Assessed for <br /> Unreported Tanks <br /> (Based on Annual <br /> Permit Fees <br /> TANK SURCHARGE _ $20 I TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM = $49. 001 FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID # (s ) : 39 . 10339507.003 ' 39 . 10339507-004 CLOSURE FEE = $456 / TANK 4 # TANKS X $456 <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections ) <br /> TANK ID # (s) : TEMPORARY CLOSURE FEE _ $456 / FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections ) <br /> TANK ID # ( s ) : PLAN CHECK FEE = $3 , 040 / FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID # (s ) : <br /> TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment , cold starts , EVR upgrades , $ <br /> Spill buckets , sumps , misc. <br /> PIPING REPAIR FEE = $456 / FACILITY use for piping , under-dispenser containment, etc. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE = $ 25 $ <br /> CONSULTATION FEE _ $ 152/ HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $ 152 / HOUR $ <br /> SAMPLING INSPECTION FEE _ $ 152/ HOUR $ <br /> FEES ARE BASED ON THE $152 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $ 1 , 824 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468- 3420 F 209 464-0138 1 www. sjcehd . com <br />