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� J <br /> FEE WORKSHEET <br /> DBA Regal Station #604 <br /> ADDRESS 1448 N. E1 Dorado, Stockton, California 95202 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. $150.00 <br /> b. Additional Tanks (# 4 Additional Tanks x $50) 200.00 <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> ($56 x Total U 5 T.-nks) 280.00 <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 /> (#— 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 /> Total Number of Tanks five Total Fee Due 630.00 <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 Addit-ional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 j(��(,,��►{ <br /> Total Number of Tanks 4 Total Fee D !2*4 X71111 <br /> JANg 1986 VVV <br /> INVIRO IEWAL HEALTH <br /> Both closures will ba conditioned. Contact a Health District PggMW <br /> /85 <br />