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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)4683433 Web:wv✓wsjgov.are/ehd JUL 2 9 2016 <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Gas Lo Paul Trahan <br /> FACILITY ADDRESS SITE PHONE 0 WITH AREA CODE <br /> 7906 N EI Dorado 209-917-2987 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> Stockton CA 95210 4 <br /> APPLICANT BILLING NAME APPLICANT.CONTACT NAME <br /> Service Station Systems, Inc. Martv Weithman <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 680 Quinn Ave. <br /> -408- 213-6038 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTORICC# <br /> San Jose CA 95112 <br /> 8061056 <br /> ACTIVE FACILITY <br /> $500 FEE INCLUDES FACILITY FEE.+1 TANK(2003-2008) 2004 20052006 2007 2008 2009 <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(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 COPA PROGRAM=$24.00/FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Closure in Place <br /> TANK 1D#(s): CLOSURE FEE=$315/TANK #TANKSX$315= $ <br /> TEMPORARY CLOSURE <br /> Plan Review and Ins ctions <br /> TANK ID#(s): TEMPORARY CLOSURE FEE_$315/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Check and Construction Inspections) <br /> TANK ID#(s): PLAN CHECK FEE=$840/FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID#(s): <br /> TANK RETROFIT REPAIR FEE =$315/FACILITY (use for monitoring equipment,cold starts,EVIR upgrades, $ 390 <br /> spill buckets sums mise. <br /> PIPING REPAIR FEE _$315/FACILITY use for piping,under-dispenser containment,act. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE = 20 $ <br /> CONSULTATION FEE = $105/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $105/HOUR $ <br /> SAMPLING INSPECTION FEE = $105/HOUR $ <br /> ALL FEES ARE BASED ON THE$10S HOURLY RATE. TIME THAT EXCEEDS FEES PAID VVILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY ID f AMOUNT RECEIVED I CHECK# RECEIVED BY DATERECEIVED <br /> SR <br /> EH 23 032(REVISED02123109) <br />