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19255517888 Main Fax GETTLER RYAN INC 4:21 a.m. 09-25-2007 4/11 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3"Floor,Stockton,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax(5t6 floor):(209)468-3433 Web:Ww .sieov.org/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> TOKAY SHELL <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 420 W KETTLEMAN LN 925 551-7555 <br /> CITY STATE ZIP CODE I #OF TANKS AT SITE <br /> LODI CA 95240 <br /> APPLICANT BILLING NAME I APPLICANT CONTACT NAME <br /> Gentler Ryan Inc. LIDDY MCKENZIE <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 6747 6747 Sierra Court,Suite J 925 1 551-7555 <br /> CITY STATEZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Duplin CA L94568 <br /> Closure Installatton Repair Retrofit 5254810-UI <br /> ACTIVE FACILITY <br /> 2000 2001 2002 2003 2004 2005 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK <br /> $125 PER TANK AFTER FIRST TANK $ <br /> $ <br /> TANK PENALTY ASSESSED <br /> $ <br /> TANK SURCHARGE=$15/TANK <br /> $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.00/FACILITY <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> $ <br /> TANK ID#(s): CLOSURE FEE=$279/TANK #TANKS X$279= <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$279/FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Ins actions <br /> TANK ID#(s): PLAN CHECK FEE=$744/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID# s <br /> TANK RETROFIT REPAIR FEE =$279/FACILITY use for monitoringequipment,spill buckets,tank sumps.misc. $$ 294 <br /> PIPING REPAIR FEE _$2791 FACILITY (use for piping.under-dispenser containment,ect.) <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 <br /> $ <br /> CONSULTATION FEE _ $93/HOUR <br /> $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $93/HOUR <br /> $ <br /> SAMPLING INSPECTION FEE _ $931 HOUR <br /> ALL FEES ARE BASED ON THE$93 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED I CHECK# RECEIVED BY DATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 02/22105) <br />