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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)46&3433 Web:www.sigay.or&ehd <br /> FACfLI . AME FA:CI ITY.CONTACT AME. <br /> H&M Market (Kwik Serv) Monica Farhat <br /> FACILITY AD RES5 SITE PHONE .WITH AR CODE <br /> 2501 Jackson Ave,Escaion CA 95320 209-8 8-3971 <br /> CITY I STATE ZIP DE. #:OF TANS;A SITE. <br /> Tracy CA 95320 3 <br /> APPLICA T BILLING NAME APR CANT C: TACT NA E <br /> Able Maintenance Inc <br /> Marty Weithman <br /> APPLI ANT MAILING D ESS AP I. ANT.. HON =#WITH AREA CODE <br /> 680 Quinn Ave. <br /> 408- 213-6038 <br /> CITY STATE ZIP CODE CIRCLE WORK TO E.DONE CONTRACTORICC# <br /> San Jose CA 95112 <br /> © 5250610 <br /> CTIVE FACILITY <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2003-2008) 2004 2 05 2006 2002 2008 2009 <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2009) <br /> $125 PER TANK AFTERTIRST TANK: $- <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE.=$4;51 TANK. <br /> STATE-SURCHARGE FOR FACILITIES NOT ALREADYON INVENTORY]N ACUPAPROGRAM $24,001 FACILITY <br /> PERMANENT CLOSURE <br /> Removal or Permitted Ctosure in Place <br /> TANK ID#(s): CLOSURE FEE_$3151 TANK #TANKS X$315= $ <br /> TEMPORAR CLOSURE <br /> tan.Revlew and.Inspections) <br /> TANK ID#(s): TEMPORARY CLOSURE,FEE_$3.15/FACILITY $ <br /> INSTAL OCTION P N HECK <br /> Plan Check and Construction Ins cWns <br /> TANK!D:#(s): <br /> PLAN <br /> .CHECK`FEE_$840 7 FACIL)TY $ <br /> REP IR PLAN CHEC_9_- <br /> TANK <br /> .TANK D'#(s): <br /> TANK RETROFIT REPAIR FEE _$313 t FACILITY (uss for monitoring equipmenl,cold starts,EVR upgrades, $456 <br /> spill buckets sumps,:misc. <br /> PIPING REPAIR FEE _$3151 FACILITY use for .under-dis, .ser�ntaihmetil,ect: $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $20 <br /> CONSULTATION FEE = $1051 HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE S 105/HOUR <br /> SAMPLING INSPECTION FEE _ $105/HOUR <br /> ALL F 5 <br /> VA0115 OUT 110SM-n-Ly-RATE.TIME THAT EXCEEB9 F WILLB LL DTOAPP <br /> OFFICE.USE ONLY vl `( <br /> SERVICE a EST# FACILITY D AMOUNTRECEIYED CHEGK# RECENIM BY I 15A RE FISTED <br /> SR <br /> EH 23 032 REVISED O212S/09 <br />