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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 or ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Chevron manager <br /> FACILITY ADDRESS SITE PHONE#W1T1i AREA CODE <br /> 508 Charter Way Stockton CA 95206 209-4 5-3440 <br /> CITY STATE ZIP CODE <br /> Stockton #OF TANKS AT SITE <br /> CA 95206 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Service Station Systems, Inc. Mart Weithman <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 N <br /> San Jose CA 95112 <br /> 0 8022810 <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-815/TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY INA CUPA PROGRAM=$24.00/FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID#(a): CLOSURE FEE <br /> TEMPORARY CLOSURE $315/TANK #TANKSXS315= $ <br /> Plan Review and Ins ctions <br /> TANK ID#(a): TEMPORARY CLOSURE FEE=$315/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Ins ections <br /> TANK ID#(s): PLAN CHECK FEE_$8401 FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID#(s) <br /> TANK RETROFIT REPAIR FEE =$315/FACILITY (use for m0nit0ring equipment,cold starts,EVR upgrades, $ <br /> s ill buckets sum mist. 375 <br /> PIPING REPAIR FEE =$315/FACILITY use for in 1.underdls nser containment,ea. $ <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 5706 HOURLY RATE. TIME TXAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REgUESTN FACILITY ID AMOUNT RECEIVED CHECK N RECENED BY DATE RECEIVED <br /> SR <br /> EH 27 072(REVISED 02R710a) <br />