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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.s* ov. ichd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Chevron <br /> FACILITY ADDRESSmanager <br /> SITE PHONE#WITH AREA CODE <br /> 6633 Pacific Ave,Stockton,CA 95207 209-47-4294 <br /> CITY STATE ZIP CODE #OF TANKS AT SITE <br /> Stockton CA 95207 <br /> 3 <br /> APPLICANT BILLING NAME APPLICANT.CONTACT NAME <br /> Service Station Systems, Inc. Martv Weithman <br /> APPLICANT MAILINGADDRESS APPLICANT PHONE#WITH AREA CODE <br /> 680 Quinn Ave. <br /> 408 213-6038 <br /> CIN STATE ZIP CODE CIRCLE WORK . =� 5261142 <br /> ICC# <br /> San Jose CA 95112 <br /> ACTIVE FACILITY <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2003-2008) 2004 2006 2006 2007 2008 2009 <br /> $550 FEE INCLUDES FACILITY FEE+1 TANK(2008) <br /> $125 PER TANK AFTER FIRST TANK <br /> TANK PENALTY ASSESSED $ <br /> TANK SURCHARGE_$151 TANK <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM=$24.00/FACILITY $ <br /> PERMANENT CLOSURE <br /> Removal or Permitted Close in Place. <br /> TANK 10#(a): CLOSURE FEE=$315/TANK #TANKS X$315= $ <br /> TEMPORARY CLOSURE <br /> Plan Review and Ins ctions <br /> TANK ID#(a): TEMPORARY CLOSURE FEE_$315/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Pin Ghent 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,EVR upgrades, $ <br /> Ili buckets sum misc. 375 <br /> PIPING REPAIR FEE =$315/FACILITY use for under-dis ser contginment,act. $ <br /> MISCELLANEOUS <br /> TRANSFER FEE 20 $ <br /> CONSULTATION FEE = $105/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE = $106/HOUR $ <br /> SAMPLING INSPECTION FEE _ $105/HOUR $ <br /> ALL FEES ARE BASED ON THE$105 HOURLY RATE. TOME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE REQUEST# FACILITY 10 1 AMOUNT RECEIVED CHECK# RECEIVED BY DATE RECEIVED <br /> SR <br /> EH 23032(REVISED 005W) <br />