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FEE WORKSHEET <br /> DBA SFyFN-iTP BOTTLING COMPANY OF MODESTO AND STOCKTON <br /> ADDRESS400 HOSMER AVENUE 1109 WEST ANDERSON STREET <br /> MODESTO, CA. 95351 STOCKTON, CALIFORNIA <br /> 1. Operating Permit Application/Annual Inspection Fee Sp.oa <br /> a. Existing Facility and 1st Tank @ $150. MODESTO AND STOCKTON --143tr.0(Y <br /> b. Additional Tanks (# 1 Additional Tanks x'$50) -' 50.00 <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or 71- <br /> ent of operation permit) 11L. 110 <br /> ($56 x T�*a? # Tankz) -- - - -- -- - L&R�"' <br /> 3. *Temporary 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 /> (#o Temporary closures x $80) 0 <br /> 4. *Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the owner/operator has no intent <br /> of re-using tank within next 2 years. <br /> (#_0 Permanent Closures x $90) 0 <br /> 312. <br /> Total Number of Tanks Z Total Fee Due -5 L8-0T- <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check and the completed application. <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> la. Existing Facility & 1st Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 224 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> RPM <br /> *Both closures will be conditioned. Contact a Health District RepresentativA N 1 '1986 <br /> 12/85 ENVIROMENTAL HEALTH <br /> FERMIT/SERVICES. <br />