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19255517888 Main Fax 0 GETTLER RYAN INC 0 - 1:39 a.m. 01-15-2008 3/10 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />304 East Weber Avenue, 3'd Floor, Stockton, CA 95202-2708 <br />Telephone: (209) 468-3420 Fax (5`k floor): (209) 468-3433 Web: www.sjgov.org/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 1 551-7555 <br />CITY <br />STATE ZIP CODE # OF TANKS AT SITE <br />TRACY <br />CA 95376 <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 Sierra Court, Suite J <br />925 551-7555 <br />CITY <br />I STATE <br />-ZIP <br />CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br />Dublin <br />I CA <br />94568 <br />1 Closure Installation <ia it Retrofit 5250451 -UI <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $279 / TANK <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 = $ 93 / HOUR <br />SAMPLING INSPECTION FEE _ $ 93/ HOUR <br />$125 PER TANK AFTER FIRST TANK <br />$ <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 />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): <br />CLOSURE FEE = $279 / TANK <br /># TANKS X $279 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $279 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s): <br />$ <br />TANK RETROFIT REPAIR FEE =$279/FACILITY use for monitoring equipment, spill buckets, tank sumps, misc. <br />$ 29'4 <br />PIPING REPAIR FEE = $279 / FACILITY use for piping, under -dispenser containment, ect. <br />$ <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $ 20 <br />CONSULTATION FEE _ $ 93/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 93 / HOUR <br />SAMPLING INSPECTION FEE _ $ 93/ HOUR <br />ALL FEE, AKE I%ASCV VN IME 41W HIJUKLT KAI t. I Mr. IMAI tA"tgJb rtt* rAiV WILL 6C DILLru IV ArrLIUMN I. <br />OFFICE USE ONLY <br />SERVICE REQUEST # FACILITY ID I AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED <br />SR <br />EH 23 032 (REVISED 02!22!05) <br />