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19255517888 Main Fax • GETTLER RYAN INC :03 P.m. 03-05-2007 3/12 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 Fast Weber Avenue,3fd Floor,Stockton,CA 95202-2708 Telephone:(209)468-3420 Fax(5#floor):(209)468-3433 Web:www.sigov.org/ehd FACILITY NAME FACILITY CONTACT NAME ARCO-9600 FACILITY ADDRESS SITE PHONE#WITH AREA CODE 1250 N WILSON WAY 925 551-7555 CITY __ STATE LP CODE I #OF TANKS AT SITE STOCKTON CA 95205 APPLICANT BILLING NAME I APPLICANT CONTACT NAME Gettler Ryan Inc. LIDDY MCKENZIE APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE 6747 Sierra Court, Suite J 925 551-7555 CIN STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# Dublin CA 94568 closure Installation Repair Retrofit 5250447-u1 ACTIVE FACILITY 2000 2001 2002 2003 2004 2005 $500 FEE INCLUDES FACILITY FEE+1 TANK $125 PER TANK AFTER FIRST TANK $ $ TANK PENALTY ASSESSED $ TANK SURCHARGE=$15/TANK $ STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM X24.001 FACILITY PERMANENT CLOSURE Removal or Permitted Closure in Place TANKID# s : CLOSURE FEE=$279/TANK #TANKSX$279= TEMPORARY CLOSURE Plan Review and Inspections) $ TANK ID#(s): TEMPORARY CLOSURE FEE=$279/FACILITY INSTALLATION PLAN CHECK Plan Check and Construction Ins actions $ TANK ID#(s): PLAN CHECK FEE=$744/FACILITY REPAIR PLAN CHECK TANK ID#(s): TANK RETROFIT REPAIR FEE =$2791 FACILITY use for monitoring equipment,spill buckets,tank sumps,misc. $$ 285 PIPING REPAIR FEE _$279/FACILITY use for piping,under-dispenser containment,ea. MISCELLANEOUS $ TRANSFER FEE = 20 $ CONSULTATION FEE = $931 HOUR $ UNAUTHORIZED RELEASE EVALUATION FEE = $931 HOUR $ SAMPLING INSPECTION FEE _ $93/HOUR ALL FEES ARE BASED ON THE 193 HOURLY RATE. TIME TKAT EXCEEDSRES PAID WILL BE BILLED TO APPLICANT. OFFICE USE ONLY SERVICE REQUEST p 1 FACILITY ID AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIYED SR EH 23032(REVISED 02122/05)