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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 Pax. (209)468-3433 Web:&B2Uj&QyS. r <br /> "eh <br /> FACILITY_. E — FACILITY—CONTACT NAME <br /> Chevron Roy Halloun <br /> FACILITY ADDRESS <br /> SITE PHONE 191 WITH AREA CODE <br /> 6633 Pacific Avenue,Stockton CA 95207 jn±j 7-4294 <br /> (209 <br /> CITY <br /> --Stockton ZIP CODE OF TANKS AT SITE <br /> to CA 95204 <br /> APPLICANT BiLLINa,-AMC APPLICANT CONTACT NAM <br /> Service Station Systems, Inc. Mart v Weithman <br /> APPLICANT MAI—UNGADDRESS -01 ' iim-161 )NE$VATMAREA-CODE <br /> 680 Quinn Ave. <br /> (408 1 213m6038 <br /> CITY <br /> STATE —ZIP CODE, CIRCLE WORK TO BE DONE CONTRACTOR]CC 0 <br /> San Jose 95112 1 UT <br /> CONTRACTOR <br /> -UT <br /> In= 5261�142 <br /> ACTIVE FACILITY <br /> - <br /> $500 FEE INCLUDES FACILITY FEE+I TANK(2003-2008) 2604 2005 20067-20-07 -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 a$1.5/TANK $ <br /> STATE SURCHARGEFORFACILITIES NOT ALREADY ON INVENTORY INA CUPA PROGRAM!124-DO/FACILITY <br /> PERMANENTCLOSURE <br /> (Removal or Permitted Closure in Place) <br /> TAW ID#Lsl:- CLOSURE FEE=$3151 TANK #TANKS X$sis= $ <br /> TEMPORARY CLOSURE <br /> (Plan Review and Inwections) <br /> TANK ID#(a): TEMPORARY CLOSURE FEE=$316/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> jPIan Check and Construction Inspections) <br /> TANK 10#(a): PLAN CHECK FEE=$840/FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID#(a): <br /> TAW RETROFIT REPAIR FEE x$3161 FACILITY (use for monftoflng equipment,cold starts,EVR upgrades, <br /> s 01 kets,sumps,misc.1 345 <br /> PIPING REPAIR FEE 9316/FACILITY use for Diolng.under-di—ser containment.ecl. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE = 120 <br /> CONSULTATION FEE = S 105/HOUR <br /> UNAUTHORIZED RELEASE EVALUATION FEE-', = $1051 HOUR <br /> SAMPLING INSPECTION FEE $105/HOUR $ <br /> ALL FEES ARE SUED O-NTH E Sift HOURLY RATE.TIME TNAT EXCEEDS FEE PAID WILL BE KILLED To APPLICANT, <br /> OFFICE USE ONLY <br /> SERVICE I TO—-FACILITY IS AMOUNT ;NECK I I WE-Frijan up---T--T--2-2 <br /> - <br /> SR <br /> EN 23 033(R—EVISE0 02123M2) <br />