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FEE WORKSHEET <br /> Western Lumber Sales of Stockton, CA, Inc. <br /> DBA W , , , , a v 1• F <br /> ADDRESS 3422 S. E1 Dorado, Stockton, CA 95206 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. 150.00 <br /> b. Additional Tanks (# 3 Additional Tanks x $50) 150.00 <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> ($56 x Total # 4 Tanks) 224.00 <br /> �_ *Tr�^3••� .loci, _(nnie �,l�}._.11ndaY'ar4i!!nd-Stnrana _Tank_. _- <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 4 Total Fee Due 524.00 <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check <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 $1 � � O <br /> b. 3 Additional Tanks x $50 1 ; • <br /> MAR � iydri <br /> 2. State Surcharge, 4 Tanks x $56. 224 <br /> LNVFROMENTAL HEALTH <br /> Total Number of Tanks 4 Total Fee Due $524 FERMIT/SERVICES <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 12/85 <br />