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SAN J O A Q U I N Environment-Al Health department <br /> COUNTY - <br /> 0rFcrtness r" rowv h0rt?. <br /> AN <br /> 021 <br /> FACILITY NAME FACILITY CONTACT NAME <br /> Quik Stop Markets #76 Harpal Harit HEA TH <br /> FACILITY ADDRESS SITE PHONE # WITH AREA CODE <br /> 1030 S Olive Ave ( 209 ) 948 -6731 PERMiTISERVICEs <br /> CITY STATE ZIP CODE # OF TANKS AT SITE <br /> Stockton CA 95205 2 <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 195205 Closure Installation Repair Retrofit 1001331 A- Hazmat <br /> ACTIVE FACILITY <br /> UST FEES = $ 550 2014 2015 UST FEES 2016 UST FEES 2017 VPH UST FEES = 2018 $ <br /> ( Facility+ 1st = $ 583 = $ 641 $961 Facility + <br /> Tank) + $ 130/Tank Facility + Facility + $2281Tank <br /> after 1st $1391Tank $ 152/Tank <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 _ $201 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 /> TANK RETROFIT REPAIR FEE _ $456 / FACILITY (use for monitoring equipment, cold starts , EVR upgrades , $ 456 <br /> Spill buckets , sumps , misc. <br /> PIPING REPAIR FEE _ $456 / FACILITY use for i in , under-dis enser containment, etc. $ <br /> I <br /> MISCELLANEOUS <br /> I <br /> TRANSFER FEE _ $ 25 $ <br /> CONSULTATION FEE _ $ 152/ HOUR $ <br /> UNAUTHORIZED RELEASE EVALUATION FEE _ $ 152 t 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 <br /> OFFICE USE ONLY <br /> SERVICE REQUEST # FACILITY ID AMOUNT RECEIVED CHECK # RECEIVED BY DATE RECEIVED <br />