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AK: ;1 D Q 1 � Environmental Health Department <br /> --- C OU N T Y ------- <br /> py <br /> C..3 Cr, 0tII ss C1 ' 0vii ilf ; e , <br /> FACILITY NAME FACILITY CONTACT NAME <br /> EI Dorado Gas & Mart Aziz Sher <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br /> 1605 S EI Dorado Street ( 209 ) 939-1906 <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> Stockton CA 95206 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> Elite IV Contractors Deborah Jones <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> 2535 Wigwam Drive ( 209) 461 -6337 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> Stockton CA 95205 Closure Installation Repair Retrofit <br /> ACTIVE FACILITY <br /> UST FEES = $550 2014 2015 UST FEES 2016 UST FEES 2017 VPH UST FEES = 2018 $ <br /> (Facility+1 st = $583 = $641 $961 Facility + <br /> Tank) + $130rrank Facility + Facility + $228/Tank <br /> after 1st $139/Tank $1521rank <br /> Double Wall & 1702 $ <br /> Compliant UST <br /> FEES = $680 <br /> Facility + $228/Tank <br /> Tank Penalty $ <br /> Assessed for <br /> Unreported Tanks <br /> ( Based on Annual <br /> Permit Fees) <br /> TANK SURCHARGE _ $20 / TANK $ <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49.001 FACILITY $ <br /> PERMANENT CLOSURE <br /> (Removal or Permitted Closure In Place) <br /> TANK ID # (s) : CLOSURE FEE = $456 / TANK # TANKS X $456 = $ <br /> TEMPORARY CLOSURE <br /> (Plan Review and Inspections) <br /> TANK ID # (s) : TEMPORARY CLOSURE FEE _ $456 / FACILITY $ <br /> INSTALLATION PLAN CHECK <br /> (Plan Check and Construction Inspections) <br /> TANK ID # (s) : PLAN CHECK FEE _ $3,040 / FACILITY $ <br /> REPAIR PLAN CHECK <br /> TANK ID # (s) : <br /> $ 456. 00 <br /> TANK RETROFIT REPAIR FEE = $456 / FACILITY (use for monitoring equipment, cold starts , EVR upgrades , <br /> Spill buckets , sumps, misc. ) <br /> PIPING REPAIR FEE = $456 / FACILITY (use for piping, under-dispenser containment, etc.) $ <br /> MISCELLANEOUS <br /> TRANSFER FEE _ $ 25 $ <br /> CONSULTATION FEE _ $ 152/ HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $ 152 / HOUR $ <br /> SAMPLING INSPECTION FEE = $ 1521 HOUR $ <br /> FEES ARE BASED ON THE $152 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $456. 00 <br /> OFFICE USE ONLY <br /> SERVICEREQUEST # FAWITY ID W173UNT RECE D C EC RECEIVED Y DATE RECEIVED <br /> 1868 E . Hazelton Avenue Stockton , California 95205 ( T 209 468-3420 F 209 464-0138 www. sirehd .com <br />