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9255517888 <br />Line 9:09:03 07-25-2013 <br />46 0 <br />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.sj og v.or //ehd <br />FACILITY NAME <br />FACILITY CONTACT NAME <br />ARCO 5450 <br />Merlin Bowen <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />1617 W FREMONT ST. <br />2008 <br />CITY <br />I STATE <br />ZIP CODE <br /># OF TANKS AT SITE <br />Stockton <br />CA <br />95203 <br />$ <br />APPLICANT BILLING NAME <br />APPLICANT CONTACT NAME <br />Gettler Ryan Inc. <br />Merlin Bowen <br />APPLICANT MAILING ADDRESS <br />APPLICANT PHONE #WITH AREA CODE <br />6747 Sierra Court, Suite J <br />2008 <br />CITY <br />STATE I ZIP CODE <br />CIRCLE WORK TO BE DONE j CONTRACTOR ICC # <br />Dublin <br />CA 94568 <br />Closure Installation Repair Retrofit CHRIS SAN NICOb <br />ACTIVE FACILITY <br />TANK ID # (s): <br />CLOSURE FEE = $315 / TANK <br />2004 <br />2005 <br />2006 <br />2007 <br />2008 <br />2 <br />009 <br />$500 FEE INCLUDES FACILITY FEE + 1 TANK (20042007) <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ed.) <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 105/ HOUR <br />$550 FEE INCLUDES FACILITY FEE + 1 TANK (2008-20iJ9) <br />$ <br />$125 PER TANK AFTER FIRST TANK <br />TANK PENALTY ASSESSED <br />$ <br />TANK SURCHARGE = $15 / TANK <br />$ <br />$ <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 ID # (s): <br />CLOSURE FEE = $315 / TANK <br /># TANKS X $315 = <br />TEMPORARY CLOSURE <br />Plan Review and Inspections) <br />TANK ID # (s) : <br />TEMPORARY CLOSURE FEE = $315 / FACILITY <br />INET <br />TANK ID # <br />PLAN CHECK FEE = $840 / FACILITY I $ <br />REPAIR PLAN CHECK <br />TANK ID # (s) : <br />$ <br />$ <br />TANK RETROFIT REPAIR FEE = $315 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />375 <br />spill buckets, sumps, misc. <br />CONSULTATION FEE = $ 105/ HOUR <br />$ <br />PIPING REPAIR FEE = $315 / FACILITY use for piping, under -dispenser containment, ed.) <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />MISCELLANEOUS <br />$ <br />TRANSFER FEE = $ 20 <br />$ <br />CONSULTATION FEE = $ 105/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE = $ 105 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 105/ HOUR <br />..__ • ___ ...._ _• •___ —.. ...-...............r. ........ . n...- ...... �.....dr...� a -mea —W vvl C �166GY 1 V / rLlVnW /. <br />OFFICE USE ONLY <br />SERVICE REQUEST# FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY <br />SR <br />ReceiveduTime(Ju1�2591202013 9:01AM No. 3682 <br />6/11 <br />