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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:wwwsi ov.or ehd <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Shell <br /> Javier <br /> FACILITY ADDRESS SITE PHONE#1 Wifi+i AREA CODE <br /> 2375 W Grant Line 209-8 6-8908 <br /> CITY STATE 21P CODE #0 <br /> F TANKS AT SITE <br /> Tracy 95376 <br /> CA 4 <br /> APPLICANT BPLLING NAME APPLICANT CONTACT NAME <br /> Service Station Systems, Inc. MartWeithman <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 CONTRACTOR'ICC# <br /> San Jose CA 95112 <br /> 0 5258567-UT <br /> ACTNE FACILITY <br /> $500 FEE INCLUDES FACILITY FEE+1 TANK(2003-2008) 2004 2005 2006 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_$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 Closure in Place <br /> TANK ID#Ls): CLOSURE FEE=$3151 TANK #TANKS X$315= $ <br /> TEMPORARY CLOSURE <br /> Pian Review and Inspections) <br /> TANK ID#(a): TEMPORARY CLOSURE FEE=$315/FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> Plan Chea and Construction Ins etions <br /> TANK ID#(a): PLAN CHECK FEE=$840/FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK 1D#(s): <br /> TANK RETROFIT REPAIR FEE =$315/FACILITY (use for monitoring equipment,cold starts,EVR upgrades, <br /> s Ili buckets sum misc. 366 <br /> PIPING REPAIR FEE _$315/FACILITYuse for ,under-dispenser containment, <br /> MISCELLANEOUS <br /> TRANSFER FEE = 20 $ <br /> CONSULTATION FEE = $105/HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $1 D5/HOUR $ <br /> SAMPLING INSPECTION FEE = $105/HOUR $ <br /> ALL FEES ARE BASED ON THE$105 HOURLY RATE.TIME THAT EXCEEDS FEES PAID WILL BE 8lLLED TO APPLICANT. <br /> OFFICE USE ONLY <br /> SERVICE I FACILITY 1D AMOUNT RECEIVED F CHECK#___7 <br /> RECEIVED BY DATE RECEIVED <br /> SR <br /> EH 23 032(REVISED 02f28/09) <br />