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S Q N ; , Q I Environmental Health Department <br /> _.._. ._, COUNTY - <br /> 44 <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Jahant Food & Fuel Stop , Inc . Mr. Singh <br /> FACILITY ADDRESS SITE PHONE ITWITH AREA CODE <br /> 2 323 E Highway99 ( 209 ) 327 -2836 <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> Acam o CA 195220 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Elite IV Contractors Deborah Jones <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> 2535 Wouwam Drive 209 ) 461 -6337 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> Stockton CA 95220 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) + $130rrank Facility + Facility + $2281Tank <br /> after 1st $139/Tank $1521Tank <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 /> $ <br /> TANK SURCHARGE _ $20 I TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49.001 FACILITY $ <br /> PERMANENTCLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID # (s) : CLOSURE FEE = $4561 TANK # TANKS X $456 = <br /> $ <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 /> TANK ID # (s) : PLAN CHECK FEE = $3,040 / FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID # (s) : <br /> TANK RETROFIT REPAIR FEE _ $456 I FACILITY (use for monitoring equipment, cold starts , EVR upgrades , $ 456 <br /> Spill buckets, sums 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 $ 456 <br /> OFFICE USE ONLY <br /> i <br /> SERVICE REQUEST # I FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED <br /> NIP <br /> I <br /> 1868 E . Hazelton Avenue I Stockton , California 952051 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd .com <br />