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19255517886 Main Fax GETTLER RYAN INC 4:39 a.m. 04-29-2008 4/10 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3d Floor, Stockton, CA 95202-2708 <br />Telephone. (209) 468-3420 Fax (P floor): (209) 468-3433 Web. www.sjgov.om/ehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />ARCO 2093 <br />LIDDY MCKENZIE <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />3425 TRACY BLVD <br />925 551-7555 <br />CITY <br />STATE ZIP CODE # OF TANKS AT SITE <br />TRACY <br />CA 95376 1 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Gettler Ryan Inc. <br />LIDDY MCKENZIE <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />6747 6747 Sierra Court, Suite J <br />925 551-7555 <br />CITY <br />STATE ZIP CODE <br />CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />Dublin <br />CA 94568 <br />Closure Installation Repair Retrofit <br />5300833 -UI <br />ACTIVE FACILITY <br />TANK ID # s <br />2000 <br />2001 <br />2002 <br />2003 <br />2004 <br />2005 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 931 HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 93/ HOUR <br />$125 PER TANK AFTER FIRST TANK <br />$ <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE = $15 / TANK <br />$ <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A COPA PROGRAM =$24.00/ FACILITY <br />INSTALLATION PLAN CHECK <br />(Plan Check and Construction In <br />TANK ID # <br />REPAIR PLAN CHECK <br />TANK ID # s <br />$ <br />TANK RETROFIT REPAIR FEE = $279 / FACILITY (use for monitoring equipment, s ill buckets, tank sumps, miser <br />$ 294 <br />PIPING REPAIR FEE = $279 / FACILITY use for piping, under -dispenser containment, ect. <br />$ <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $ 20 <br />$ <br />CONSULTATION FEE = $ 93/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 931 HOUR <br />$ <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 # T'RECEIVED BY DATE RECEIVED <br />SR <br />EH 23 032 (REVISED 02122105) <br />