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rt re ofi. d a # 6y r i <br /> _ c <br /> M <br />+ <br /> EE rlO SSI E ET� �E ACH,,., I T <br /> t� x ADDRESS <br /> pBAAT— <br /> ^ �r <br /> d ',"PBA, <br /> me 'x i r F ayaa w. ti +, <br /> r 1✓✓1113. 7}l i r nig w ,,.;.. �...r at x �';F:� a �,.e.� .iw <br /> : . E <br /> CV <br /> 've ,,stocktan ° CA,..952 <br /> 0 <br /> ". _ <br /> .-MA I LI NG,�IDDRESS 2504 Navy,1 'a <br /> 1. New Faci 1 i ty or Addi ti on , . .. ... . . ... <br /> First Tank $180. <br /> J. Additional Tanks (# Additional Tanks x $50 <br /> Operating .Permit Application/Annual Inspection Fee $150.010 <br /> a. Existing Facility and 1st Tank @ $150. 150.00 <br /> b. Additional Tanks (# �_ Additional Tanks x $50) <br /> 3. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) 224.00 <br /> ($56 x Total # 4 Tanks) <br /> 4. *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 #3 to calculate surcharge) <br /> 5. *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 <br /> j Total Fee Due $524.00 <br /> Make all fees payable to San Joa n Local Health District. Enclose this worksheet <br /> ui 'A, <br /> with your check. <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular, I unleaded, I supreme, 1 waste oil ) <br /> Ia. 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 <br /> *Both closures" will be conditioned. Contact a Health District Representative. <br /> S <br />