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SAN ) Q A Q U I N Environmental Health Department <br /> COUNTY <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Anabi Oil - Shell Scott Willett <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br /> 2375 West Grant Line Road 760 722 - 9002 <br /> CITY STATE ZIP CODE I # OF TANKS AT SITE <br /> Tracy CA 95377 4 <br /> APPLICANT BILLING NAME APPLICANT CONTACT NAME <br /> DiMaggio Maintenance Inc . Scott Willett <br /> APPLICANT MAILING ADDRESS APPLICANT PHONE # WITH AREA CODE <br /> 1040 Joshua Way 760 722 - 9002 <br /> CITY STATE ZIP CODE CIRCLE WORK TO BE DONE CONTRACTOR ICC # <br /> Vista ICA 1 92081 1 Closure Installation Repair Retrofit 8405822 <br /> ACTIVE FACILITY <br /> UST FEES = $641 Facility Fee + $ 152 Per Tank 2012 2013 2014 2015 2016 2017 <br /> $ 0 <br /> TANK PENALTY ASSESSED $ 0 <br /> TANK SURCHARGE = $20 / TANK $ 0 <br /> STATE SURCHARGE FOR FACILITIES NOT ALREADY ON INVENTORY IN A CUPA PROGRAM =$49. 00/ FACILITY $ 0 <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 /> $ 0 <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 = $ 1216 / FACILITY <br /> REPAIR PLAN CHECK <br /> TANK ID # (s) : <br /> $ <br /> TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment , cold starts , EVR upgrades , 456 <br /> spill buckets , sum s , mise. <br />� $ <br /> PIPING REPAIR FEE _ $456 / FACILITY (use for piping , under-dispenser containment, ect.) 0 <br />( MISCELLANEOUS <br /> TRANSFER FEE _ $ 25 $ <br /> CONSULTATION FEE = $ 152/ HOUR $ 0 <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $ 152 / HOUR $ 0 <br /> SAMPLING INSPECTION FEE = $ 152/ HOUR $ 0 <br /> FEES ARE BASED ON THE $152 HOURLY RATE. TIME THAT EXCEEDS FEES PAID WILL BE BILLED TO APPLICANT. <br /> TOTAL AMOUNT DUE $ 456 <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 www . sjcehd . com <br />