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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.sjgov ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Morada Chevron Fast—N—Easy #60 Bill <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 10878 N. Hwy 99, Frontage Road 209 931-6154 <br /> CITY MP CODE I #OF TANKS AT SITE <br /> Stockton CA 95212 1 4 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Bagley Enterprises, Inc. Jose h Bahle <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 2370 Maggio Circle, #4 209 367-4800 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Lodi I Closure Installation(Repair)Retrofit 8014626 <br /> ACTIVE FACILITY <br /> 2003 2004 2005 2006 2007 2008 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2002-2007) <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK( $ <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 IN A CUPA PROGRAM=$24.001 FACILITY <br /> PERMANENTCLOSURE <br /> Removal or Permitted Closure in Place $ <br /> TANK ID#(s): CLOSURE FEE=$294/TANK #TANKS X$294= <br /> TEMPORARY CLOSURE <br /> Plan Review and Ins ections $ <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$2941 FACILITY <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Ins ctions $ <br /> TANK ID#(s): PIAN CHECK FEE_$784/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(s) <br /> $ <br /> TANK RETROFIT REPAIR FEE _$ /FACILITY (use for monitoring equipment,Cold starts,EVR upgrades, 315.00 <br /> spill buckets,sumps,misc. <br /> JI <br /> PIPING REPAIR FEE _ /FACILITY use for i in ,Under-0' user containment eU. <br /> MISCELLANEOUS <br /> $ <br /> TRANSFER FEE _ $20 $ <br /> CONSULTATION FEE _ /98 OUR <br /> S JOS $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = I HOUR <br /> (,i $ <br /> SAMPLING INSPECTION FEE = HOUR <br /> ALL FEES ARE BASED ON THE OU LY M. TIME THAT E%LEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERNCE REQUEST# CH <br /> FACILITY ID AMOUNT RECEIVED ECK# RECEIVED BY DATE RECENED <br /> SR <br /> EH 23 032(REVISED 12131107) <br />