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NA Toad I(en�a� AOORESS �OyS �t C�11Af`}t� l,Jctti <br /> �bmell 1r1 , <br /> MAILING ADDRESS �\OLAtPy3c04 <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks (f Additional Tanks x $50) <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment.of operation permit and temporary closure) <br /> ($56 x Total f Tanks) <br /> 3. *Temporary Closure (per ``tank) Underground Storage Tank in which <br /> storage has ceased but inhere the owner/operator proposes to <br /> re-use tank within 2 years. <br /> (f Temporary closures x $80) (See above f3 to calculate surcharge) <br /> 4• 'Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the 9wner/operator has no intent <br /> of re-using tank . 00 <br /> (f �. Permanent Closures x $90) Igb . <br /> S. Plan Check Fee $30. <br /> Total Number of Tanks Total Fee Due <br /> Make all fees payable to San Joaquin Local Nealth District. Enclose this worksheet <br /> with your check. <br /> (� Valley Commercial Bank 1073 <br /> AAA TANK REMOVAL & DEMOLITION P.O.Boa 97M <br /> PH. 209-369-4412 1031 E. W.W0.Road <br /> Sbckbn,California 96208 <br /> 5407 E. MORSE ROAD <br /> LODI. CA 95240 <br /> PAY U a �p �i.(L.,In dh DOLLARS $TO <br /> 6� <br /> HE So^ JOa�G1vl LGcQi ��.4/Th <br /> ORDER <br /> OF /c <br />