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FEE WORKSHEET <br /> DBA eJ%I404I/ tr 4T�1 <br /> ADDRESS �i'�r�O .J. �L/.P9G��! JT STA�.�Ta•� �—✓1• Tis <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. <br /> b. Additional Tanks (# fl Additional Tanks x $50) _ <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> /QCG <br /> n Total u� <br /> w 1 �/ V <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 /> 00 <br /> (#4 Temporary closures x $80) <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 /> (# Permanent Closures x $90) <br /> O� <br /> Total Number of Tanks z Total Fee Due <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check and the completed application. ��g10 <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 1 1;,;-: ,, • <br /> 2. State Surcharge, 4 Tanks x $56 2 <br /> Total Number, of Tanks 4 Total Fee Due $524 MA Jdo www,�„111 <br /> ENVIR ,ENT HEALTH <br /> HIT/SER $ <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 12/85 <br />