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c <br /> AiIORESS Lj <br />� •r•��� PRESS � � �• � ... � .. <br /> 7 <br /> sa <br /> .i V , 5 �w•ryw.rw+ww.n++'rn4M1+ ...,,. ..4 ..guy.-.�.��q..-.yr.w,e -...'P�..'rr�.-�r.�.-.-:..����...�i- .. �.-- _. <br /> 1 � <br /> t' F, ' <br /> Jperating permit Application%Annual Inspection Fee PA YM en r <br /> >= a. First Tank. at <br /> Faci;lity.@. S150EC1�[yED <br />`f b. <br /> "Add tional Tanks {I► `: Additional Tanks x $50) JUL 22 1988 <br /> 3tdte`Surcliarge (per tank} {Due witkier�ait Applications <br /> R� <br /> AL <br /> on renewal-nor amendment of operation permit and- temporary cloTh <br /> 056 x. Total Tanks) <br />. *Temiporary Closure (per tank) Underground Storage Tank in which <br /> storage,`.has ceased but where the owner/operator proposes to <br /> re-use, tank .within 2_,years. <br /> {f Temporary:ciosures x $80) (See above #3 to calculate surcharge} <br />• *permanent Closure {per tank) Underground Storage Tank in which <br /> storage:has ceased�and where the owner/operator has no intent �a�y <br /> of re-using tank, <br /> 01. P rmanent_ Closures x $90) ngµ <br /> k <br /> Total Number of Tanks Total :fee Due `_ �� <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> t <br /> with your check, <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks !' <br /> ( f regular, I unleaded, 1 supreme. 1 waste oil) <br /> la. ; Existing Facility & lst Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. StSte Surcharge. 4 Tanks x $56 224 <br /> Total Number. of Tanks 4 Total Fee Due $524 <br />'8otfti closuresawi31 ,be�cond�tioned . Contact' a;He�;�'tiQltrict'Re rgj <br /> esentiatiYe � � Mkt <br /> i , F.r' S-`fi '14. s .f' --f r '; �Y a'r s`- y*V . -.C7f r'�'_ `r; �'° '�' -°yF✓ ft ui.•s� t'-cYJ� � ��j. <br /> `�'. rt <br /> tea <br /> r�•" �r+�" $+;- 'I a:; ,�`1'ar' 3zc 1'- - 71Y <br /> rr ^ <br /> yvrw't5 H'Ly w r .fly ti� r 4 aEgse3 z k� 0 7 Y tira � r <br /> �3U {hl 3a, ° _ . # I - � jxt , I.-: k a t x• ty.,a ' 3 �. sW t '^rl '''x'z 7'v,� r N -i <br /> - J.tc <br /> �_; .�,} � . � �'• -� 9 t Fal,, 1 �h fs �-c�: :., � XE. v,, z. <br />