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SAN JOAQUIN COUNTY RECEIVED ENVIRONMENTAL H> ALTH DEPAR7'M600 East Main Street,Stockton,CA 952029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web,www.s' ov.or ehd <br /> FACILITY NAME �UIV U ') 2015 <br /> FACILITY CONTACT NAJ�SE <br /> Rancho San Miguel Market(Food for Less) Gilbert Silva CNVIR+0NMENT 1 <br /> FACILITY ADDRESS S1TE PHONE#WITH AREA CODE I !_!�' la n C�1 1 L <br /> 1409 S. Airport Way, Stockton CA 95206 209-9 2-2840 <br /> CITY STATE ZIP CODE <br /> #OF TANKS AT SITE <br /> Stockton <br /> CA 95206 2 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Service Station Systems, Inc. Marty Wethman <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 680 Quinn Ave. <br /> 408 213-6038 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> San Jose CA 95112 <br /> 8033115 <br /> ACTIVE FACILITY <br /> $500 FEE INCLUDES FACILITY FEE+ 1 TANK(2003-2008) 2004 2005 2006 2007 2008 2009 <br /> $550 FEE INCLUDES FACILITY FEE+ 1 TANK(2009) <br /> $125 PER TANK AFTER FIRST TANK $ <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE=$15/TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY!N A CUPA PROGRAM=$24.00/FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID# s CLOSURE FEE=$3151 TANK $ <br /> TEMPORARY CLOSURE #TANKS X$315= <br /> Pian Review and Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE r$315/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s)! PLAN CHECK FEE_$840/FACILITY $ <br /> rRE7NH <br /> EE _$3151 FACILITY (use Far monitoring equipment,cold starts,EVR upgrades, $kets,sums mise390 <br /> 5/FACILITY use For piping,under-dispenser containment,act. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 $ <br /> CONSULTATION FEE _ $ 105/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $ 105/HOUR $ <br /> SAMPLING INSPECTION FEE _ $1051 HOUR $ <br /> ALL FEES ARE BASED ON THE$105 HOURLY RATE. TIME THAT EXCEEDS FEES RAID WILL BE 81LLED TO <br /> APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUESTS FACILMY ID AMOUNT RECEIVED CHECK* RECENED 8Y DATE REGEIVEt3 <br /> SR <br /> EH 23 032(REVISED 0.2123109) <br />