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SAN JOAQUIN COUNTY . <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> 7-Eleven#32190 <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 4943 S CA.99 If <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> Stockton CA 95215 3 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Walton En inerin , Inc. Veronica Freitas <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> P.O. Box 1025 916 373-1167 <br /> CITY STATE I ZIP CODE CIRCLE WORK TO DONE CONTRACTOR ICC# <br /> est Sacramento I CA 1 95691 Closure Installation a air Retrofit <br /> ACTIVE FACILITY <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2007-2008) 2008 2009 2010 2011 2012 2013 <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2009-2012) <br /> $125 PER TANK AFTER FIRST TANK $ <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE=$151 TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM=$35.00/FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID#(s): CLOSURE FEE=$3751 TANK #TANKS X$375= $ <br /> TEMPORARY CLOSURE <br /> Plan Review and Inspections) <br /> TANK ID#(s) : TEMPORARY CLOSURE FEE=$375/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s): PLAN CHECK FEE=$1000/FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> TANK RETROFIT REPAIR FEE =$375/FACILITY (use for monitoring equipment,cold starts,EVR <br /> spill buckets,sumps,misc.) FlEcr7 (VP:D <br /> PIPING REPAIR FEE =$3751 FACILITY use for piping,under-dispenser containment,ect.) 375 <br /> MISCELLANEOUS 2014 <br /> TRANSFER FEE _ $25 ENVIRONMENTAL HE Th <br /> CONSULTATION FEE = $125/HOUR DEPART NT <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $1251 HOUR $ <br /> SAMPLING INSPECTION FEE = $1251 HOUR $ <br /> ALL FEES ARE BASED ON THE$126 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $ 375 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIVED <br /> EH 23 032(REVISED 111512013 by KF) <br />