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19255517888 Main Fax GETTLER RYAN INC 049 p.m. 01-26-2007 4/11 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue,3"Floor,Stock(on,CA 95202-2708 <br /> Telephone:(209)468-3420 Fax(5"floor):(209)468-3433 Web:www.sieov.orPJehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> ARCO <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 1250 N WILSON 925 1 551-7555 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> STOCKTON CA 95205 <br /> APPUCANT BILLING NAME APPLICANT CONTACT NAME <br /> (-Tettier Ryan Inc. LIDDY MCKENZIE <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE 0 WITH AREA CODE <br /> 6747 Sierra Court, Suite J 925 551-7555 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC# <br /> Dublin CA .94568 Closure Installaflon Repair Retrofit 5250447-ut <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 /> TANK SURCHARGE_$15/TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM=$24.00/FACILITY <br /> PERMANENTCLOSURE <br /> Removal or Permitted Closure In Place <br /> TANK ID# s CLOSURE FEE=$2791 TANK #TANKS XS279= <br /> TEMPORARYCLOSURE <br /> Plan Review and Ins emions <br /> TANK ID#(s): TEMPORARY CLOSURE FEE=$2791 FACILITY <br /> INSTALLATION PLAN CHECK <br /> PWn Check and Construction inspections)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 moriftoring 2quipment,spill buckets,tank sumps.misc. $ 265 <br /> PIPING REPAIR FEE _$279/FACILITY (use for piping,under-dispenser wntainmenl,act.) <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 <br /> CONSULTATION FEE = $93/HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $93/HOUR <br /> SAMPLING INSPECTION FEE _ $93/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 CHECK# RECEIVED BY DATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 02/22105) <br />