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SAN JOAQUIN COUNTY 0 ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202-3029 Telephone. (209) 468-3420 Far: (209) 4683433 Web: ymy.s'go I v.Qr&Lejjd FACILITY NAME FACILITY CONTACT NAME Valero Marianna FACILITY ADDRESS SITE POOR 0 WITH AREA CODE 1001 E Yosemite Ave, Manteca CA 95336 (408 ) 213-6038 CITY STATE _12N-835-4569 Zip CODE "F—TANKS AT SITE Manteca CA T3 APPLICANT BILLING "ME --- APPLICANT• CONTACT NAME Service Station Systems, Inc. Marty-Weithman APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE 680 Quinn Ave. (408 ) 213-6038 CITY STATE PCODE CIRCLE WORK TO BE DONE CONTRACTOR ICC S San Jose J95112 $ TANK PENALTY ASSESSED I— !M77q ACTIVE FACILITY TANK ID#(s): CLOSURE FEE= 3151 TANK- # TANKS X $315 $500 FEE INCLUDES FACILITY FEE + 1 TANK (2003-2008) $550 FEE INCLUDES FACILITY FEE + I TANK (2009) $125 PER TANK AFTER FIRST TANK 2004 2005 2006 2007 2008 2009 SAMPLING INSPECTION FEE = $ 105/ HOUR ALL FEES ARE BASED ON THP 91AR wn"R] V RATE TIUCTUA'r =Vr=Mnft ecce ft— $ $ TANK PENALTY ASSESSED I— $ TANK SURCHARGE = $15 /TANK $ STATE'SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$24-00/ FACILITY $ PERMANENT CLOSURE (Removal or Permitted Closure in Place) TANK ID#(s): CLOSURE FEE= 3151 TANK- # TANKS X $315 TEMPORARY CLOSURE (Plan Review and Ins coons TANK ID # (s): TEMPORARY CLOSURE FEE =$315 / FACILITY REPAIR PLAN CHECK TANK ID # (s): $ TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, - spill bucketssumps, misc.) — T 375 PIPING REPAIR FEE = $316 / FACILITY use forpiping. under -dispenser oontainmenL e5j_ $ MISCELLANEOUS TRANSFER FEE =$20 $ CONSULTATION FEE = $ IDS/ HOUR $ UNAUTHORIZED RELEASE EVALUATION FEE =$105/HOUR $ SAMPLING INSPECTION FEE = $ 105/ HOUR ALL FEES ARE BASED ON THP 91AR wn"R] V RATE TIUCTUA'r =Vr=Mnft ecce ft— $