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%N. 1WW <br /> FEE WORKSHEET <br /> DBA RAMACHER MANUFACTURING COMPANY <br /> ADDRESS 5023 N. Flood Rd. (P.O. Box 506) Linden, Ca. 95236 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. 150.00 <br /> b. Additional Tanks (# 2 Additional Tanks x $50) 100.00 <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> �$5�[c X T-a_t u —._s-_ - _ _ --- 1 0 <br /> . /. 1V 1 7 J IGllhp� uv• 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 /> (#— 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 /> (# 1 Permanent Closures x $90) 90.00 <br /> Total Number of Tanks 4 Total Fee Due 508.00 <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 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 <br /> Total Number of Tanks 4 Total Fee Due <br /> JAN 21 '1986 U <br /> ENVIROMENTAL HEATH <br /> *Both closures will be conditioned. Contact a Health District Represerft§Rh "SERVICES <br /> 12/85 <br /> \/ ./ <br />