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TCE WORKSHEET PER EACH FACILITY <br />FACILITY iH <br />i <br />1. Operating Permit Application/Annual inspection Fee <br />a. First Tank at Facilit.Y P $ISO. <br />b. Additional Tanks (/ Additional Tanks x $50) <br />2. State Surcharge (per tank) (Due with Permit Application, <br />on renewal or amendment of operation permit and temporary closure) <br />($56 x Total A Tanks) <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) (See above 03 to calculate surcharge) <br />4• *Permanent Closure (per tank) Underground Storage Tank in which <br />storage has ceased 'and where the owner/operator has Ino intent <br />o1 re -using tank- PAYMENT <br />i (I'r Permanent Closures x $90) RECEIVED <br />5. Plan Check Fee $30. OCT 111988 <br />"OWAENTAC HEACTI4 <br />PERMITISEPACESTotal Fee Due <br />Total Number of Tanks � <br />COLLEGE SQUARE OFFICE 7479 <br />- P.O. BOX 588, STOCKTON, CA 95201 WELLS FARGO BANK <br />P.O. BOX 7237, CAPISTRANO BEACH, CA 92624-7237 STOCKTON. CA 95207 <br />NORTH CAL P.O. BOX 214608, SACRAMENTO, CA 95821 <br />CONSTRUCTION <br />DATE 10/06/88 AMOUNT <br />ONE HUNDRED AND EIGRTY DOLLARS 00/100 * k^ "`k"�* *'�'ti'''nk* $180.00 <br />PAY ���•� <br />TO THE <br />ORDER <br />OF: JOAQUIN LOCAL HEALTH DIST. <br />i <br />'Both closures will be conditioned, Contact A Health Utstrrct Kepresen[ac,ve. <br />