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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.sicehd.com <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />7 -Eleven #2369-17647 <br />Veronica Freitas <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />1048 West Yosemite Avenue209 <br />239-2329 <br />CRY <br />STATE <br />ZIP CODE1 <br /># OF TANKS AT SITE <br />Manteca <br />CA <br />95337 <br />1 2 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Walton Engineering, Inc. <br />Veronica Freitas <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />P.O. Box 1025 <br />916 373-1166 <br />CITY <br />STATE <br />ZIP CODE CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser containment, act. <br />Closure Installation Re air Retrofit <br />ACTIVE FACILITY <br />TANK ID # (a): <br />CLOSURE FEE = $390 / TANK <br />2009 <br />2010 <br />2011 <br />2012 <br />2013 <br />2014 <br />$ <br />$550 FEE INCLUDES FACILITY FEE +1 TANK <br />$ <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser containment, act. <br />$130 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE =$15/TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$35.00/ FACILITY <br />$ <br />PERMANENTCLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (a): <br />CLOSURE FEE = $390 / TANK <br /># TANKS X $390 = <br />TEMPORARYCLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $390 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (a): <br />$ <br />CONSULTATION FEE = $ 130/ HOUR <br />$ <br />TANK RETROFIT REPAIR FEE = $390 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />390 <br />spill buckets, sumps, mist. <br />$ <br />$ <br />PIPING REPAIR FEE = $390 / FACILITY use for piping, under -dispenser containment, act. <br />MISCELLANEOUS <br />TRANSFER FEE _ $ 25 <br />$ <br />CONSULTATION FEE = $ 130/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE =$130/HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 130/ HOUR <br />$ <br />FEES ARE CASED ON THE $130 HOURLY AAI E. TIME THAT EXCEEDS FEES PAN WILL Be KILLED TU APPLICANT. <br />TOTAL AMOUNT DUE 1$ 390 <br />OFFICE USE ONLY <br />