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r <br /> Pew. <br /> ,s <br /> �: . 7777777 , <br /> Total Number of Tanks <br /> Total Fee Due <br /> Make all fees payable to San Joaquin Local Health District. Enelose this worksheet <br /> .with your check . <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> ( i regular, 1 unleaded, l supreme, I waste oil ) <br /> Ia. Existing Facility 6 1st Tank 5150 <br /> b. 3 Additional Tanks x $50 150 <br /> State Surcharge, 4 Tanks x $56 224 <br /> ' ' Total ,Number of Tanks 4 Total Fee Due $524 v <br /> r <br /> sures will be conditioned, Contact a Health District -Representbtive. <br />