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SAN 10AQUIN <br />COUNT Y <br />EnvironnaambiC Cleah Department <br />FACILITY <br />7 -Eleven <br />UST FEES= $550 <br />NAME <br />#41341 <br />FACILITY CONTACT NAME <br />FACILITY ADDRESS <br />SITE PHONE # WITH AREA CODE <br />4415 Pacific Ave <br />( 1 <br />CITY <br />STATE <br />ZIP CODE <br /># OF TANKS AT SITE <br />Stockton <br />CA <br />95247 <br />2 <br />APPLICANT BILLING NAME <br />Walton Enaineerina, Inc. <br />UST FEES= $550 <br />APPLICANT CONTACT NAME <br />Sarah Jablonsk - Construction Manager <br />APPLICANT MAILING ADDRESS <br />PO Box 1025 <br />UST FEES <br />APPLICANT PHONE # WITH AREA CODE <br />CITY <br />West Sacramento <br />STATE <br />CA <br />ZIP CODE <br />95691 <br />CIRCLE WORK TO BE DONE <br />CONTRACTOR ICC # <br />8185848 <br />1 Closure Installation Repair etrofit <br />ACTIVE FACILITY <br />UST FEES= $550 <br />2014 <br />2015 <br />UST FEES <br />2016 <br />UST FEES <br />2017 <br />VPH UST FEES = <br />2018 <br />$ <br />(Facility+1st <br />PIPING REPAIR FEE = $456 / FACILITY (use for piping, under -dispenser containment, etc.) <br />= $583 <br />= $641 <br />$961 Facility+ <br />Tank) + $130/Tank <br />Facility + <br />Facility + <br />$228/Tank <br />after 1st <br />$139/Tank <br />$15211rank <br />Double Wall & 1702 <br />$ <br />Compliant UST <br />FEES= $680 <br />Facility + $228/Tank <br />Tank Penalty <br />$ <br />Assessed for <br />Unreported Tanks <br />(Based on Annual <br />Permit Fees <br />TANK SURCHARGE =$20/TANK <br />$ <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 Inspecti <br />TANK ID # <br />TEMPORARY CLOSURE FEE _ $456 /FACILITY <br />INSTALLATION PLAN CHECK <br />Plan Check and Construction Ins ections <br />$ <br />TANK ID # (s) : PLAN CHECK FEE= $3,040 /FACILITY <br />REPAIR PLAN CHECK <br />TANK ID # (s) <br />$ <br />CONSULTATION FEE _ $ 152/ HOUR <br />$ <br />TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment, cold starts, EVR upgrades, <br />456.00 <br />Spill buckets, sumps, misc. <br />$ <br />PIPING REPAIR FEE = $456 / FACILITY (use for piping, under -dispenser containment, etc.) <br />MISCELLANEOUS <br />FEES ARE BASED ON THE $152 HOURLY RATE, TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT, <br />TRANSFER FEE = $ 25 <br />$ <br />CONSULTATION FEE _ $ 152/ HOUR <br />$ <br />UNAUTHORIZED RELEASE EVALUATION FEE _ $ 152 / HOUR <br />$ <br />SAMPLING INSPECTION FEE _ $ 152/ HOUR <br />$ <br />TOTAL AMOUNT DUE $ <br />OFFICE USE ONLY <br />SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 <br />www.sjcehd.com <br />