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0 <br />SAN JOAQO COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.s,)gov.or <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />ARCO 2093 <br />LIDDY MCKENZIE <br />r- I I i qw,-" <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />3425 TRACY BLVD <br />925 551-7555 <br />CITY <br />STATE <br />ZIP CODE # OF TANKS AT SITE <br />TRACY <br />CA <br />95376 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Gettler Ryan Inc. <br />LIDDY MCKENZIE <br />r- I I i qw,-" <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITHae% L`" <br />6805 Sierra Court, Suite G <br />M It LMM V60 1111— 17 <br />925 551-7555 <br />CITY <br />STATE <br />I ZIP CODE <br /># <br />CIRCLE WORK TO BE DONE CR mcom <br />Dublin <br />CA <br />94568 <br />Closure Installation Rep Retrofit <br />11� 11 11• 11 11.`��'��jRr <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2004-2007) <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008-2009) <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />TANK SURCHARGE = $15 / TANK <br />STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A <br />PERMANENT CLOSURE <br />Removal or Permitted Closure in Place <br />TANK ID # (s): <br />CLOSURE FEE = $315 / TANK <br /># TANKS X $315 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $315 / FACILITY <br />INSTALLATION PLAN CHECK <br />Plan Check and Construction Inspections) <br />$ <br />TRANSFER FEE _ $ 20 <br />I <br />TANK RETROFIT REPAIR FEE = $345 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />TANK ID # (s) : <br />PLAN CHECK FEE = $840 / FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />$ <br />TRANSFER FEE _ $ 20 <br />$ <br />TANK RETROFIT REPAIR FEE = $345 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />$ <br />spill buckets, sumps, misc. <br />$ <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ect. <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $ 20 <br />$ <br />CONSULTATION FEE _ $ 105/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 105/ HOUR <br />ALL ttLS AML UAStU UN 1 Mt Mb MUUKLY KA I L. I IML I KA I LAULLUS ELLS PAW WILL tSt CILLtU I U AYYLIGAN 1. <br />OFFICE USE ONLY <br />