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FEE WORKSHEET <br /> DBA <br /> ADDRESS /90 Q0)( -3 ,49 S7` itir <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. <br /> b. Additional Tanks (#4L Additional Tanks x $50) _/0 O <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> ($56 x Total Tanks) <br /> 3. *Temporary osu 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 _ 3 Total Fee Due yL�, DCS <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 $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 ,JAN 2 -0 196'6 <br /> ENVIROMENTAL HEALTH <br /> i ER:vi1 I/SERVICES <br /> *Both closures will be conditioned. ontact a Health District Representative. <br /> 12/85 ��cv <br /> Iwo <br />