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SAN J U A W N Environmental Health Department <br /> -- COUNTY- <br /> (_; ieo / ns: ss � roivs ner_- <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Interstate A Enterprises , Inc/ City Food & Liquor Amarjit Khinda <br /> FACILITY ADDRESS SITE PHONE tf WITH AREA CODE <br /> '16470 Cambridge Drive ( 209 ) 6474273 <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> Lathrop CA 95330 <br /> APPLICANT BILLING NAMEPPLICANT 0NTACT NAME <br /> Elite IV Contractors 6eborah Tones <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> 2535 Wigswam Drive 209 461 -6337 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> Stockton CA 95205 Closure Installation Repair Retrofit 1001331 <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 ) + $ 1301Tank Facility + Facility + $228lrank <br /> after 1st $ 139/Tank $ 152/Tank <br /> Double Wall & 1702 <br /> Compliant UST <br /> FEES = $ 680 <br /> Facility + $2281Tank <br /> Tank Penalty $ <br /> Assessed for <br /> Unreported Tanks <br /> ( Based on Annual <br /> Permit Fees <br /> $ <br /> TANK SURCHARGE = $20 ! TANK <br /> $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM = $ 49.00/ FACILITY <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure In Place <br /> $ <br /> TANK ID # (s) : CLOSURE FEE = $456 / TANK # TANKS X $456 = <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> $ <br /> TANK ID # (s) : TEMPORARY CLOSURE FEE _ $456 / FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> $ <br /> TANK to # (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 , $ 456 <br /> Spill buckets , sumps , misc. <br /> PIPING REPAIR FEE _ $456 / FACILITY use for piping, underdis enser containment, etc. <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $ 25 $ <br /> CONSULTATION FEE _ $ 1521 HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = S 1521 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 $ 456 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST it FACILITY ID I AMOUNT RECEIVED I CHECK H RECEIVED BY DATE RECEIVED <br /> 1868 E . Hazelton Avenue i Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd .com <br />