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9255517888 Llne 1 "9:49:29 06-04-2012 7/13 <br /> 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:wv✓w.sigov.org/ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> ARCO 6080 <br /> FACILITY ADDRESS SITE PHONE#WITH AREA CODE <br /> 85 E LOUISE AVE 925 551-7555 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> LATHROP CA 95330 <br /> APPLICANT BILLING NAME I APPLICANT CONTACT NAME <br /> Gettler Ryan Inc. LIDDY MCKENZIE <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#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 InstallationRep Retrofit Christopher Bisb <br /> ACTIVE FACILITY <br /> 2 <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2004-2007) 2004 2005 006 2007 2008 2009 <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2008-2009) <br /> $125 PER TANK AFTER FIRST TANK $ <br /> TANK PENALTY ASSESSED I $ <br /> TANK SURCHARGE=$15/TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.00/FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK ID#(s): CLOSURE FEE=$3151 TANK #TANKS X$315= $ <br /> TEMPORARY CLOSURE <br /> Plan Revfew and Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$315!FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s): PLAN CHECK FEE_$840!FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID#(s) <br /> TANK RETROFIT REPAIR FEE =$3t&/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, $ 375 <br /> spill buckets,sumps,misc. <br /> PIPING REPAIR FEE _$315/FACILITY use for piping,under-dispenser containment,ect. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 $ <br /> CONSULTATION FEE = $105/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $105/HOUR $ <br /> SAMPLING INSPECTION FEE _ $105/HOUR $ <br /> ALL FEES ARE BASED ON THE$105 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUESTS FACILITY ID AMOUNT RECEIVED I CHECK# I RECEIVED SY DATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 03120/09) <br />