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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: www.sjgov.or /� ehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />Convenience Retailers site 270 5446 <br />Christie Davis - Manager <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />1403 Country Club Blvd. <br />209 943-2082 <br />CITY <br />STATE <br />ZIP CODE # OF TANKS AT SITE <br />Ttockton <br />CA <br />95204 <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Armour Petroleum Service <br />Michael Armour tech: Daniel Armour <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE # WITH AREA CODE <br />PO Box 507 <br />707 437-6668 <br />CITY <br />STATE <br />ZIP CODE CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />Vacaville <br />CA <br />195696-0507 Closure Installation Repair Retrofit <br />5254794 <br />ACTIVE FACILITY <br />TANK ID # (s): 91 Leak Detertor <br />2005 <br />2006 <br />2007 <br />2008 <br />2009 <br />2010 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (2004-2007) <br />$ <br />PIPING REPAIR FEE = $345 / FACILITY use for piping, under -dispenser containment, ect. <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 115 / HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 115/ HOUR <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008-2010) <br />$ <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 CUPA PROGRAM =$49.00/ FACILITY <br />PLAN <br />TANK ID # (s) : I PLAN CHECK FEE = $920 / FACILITY I $ I <br />REPAIR PLAN CHECK <br />TANK ID # (s): 91 Leak Detertor <br />$ <br />$345.00 <br />TANK RETROFIT REPAIR FEE = $345 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />spill buckets, sumps, misc. <br />CONSULTATION FEE = $ 115/ HOUR <br />$ <br />PIPING REPAIR FEE = $345 / FACILITY use for piping, under -dispenser containment, ect. <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 115 / HOUR <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE _ $ 20 <br />$ <br />CONSULTATION FEE = $ 115/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 115 / HOUR <br />$ <br />SAMPLING INSPECTION FEE = $ 115/ HOUR <br />1 <br />ALL FEES ARE BASED ON 111-11z $115 HUURLY BATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br />OFFICE USE ONLY <br />SR <br />(REVISED <br />