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FEE WORKSHEET <br /> DBA TXO PRODUCTION CORP. ATTENTION: SHARON E GEORGE <br /> ADDRESS 100 HOWE AVE. , SUITE 200 NORTH, SACRAMENTO, CA 95825 <br /> I. Operating Permit Application/Annual Inspection Fee ti <br /> a. Existing Facility and 1st Tank @ $150. $150. <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) <br /> ` f&,r_ -.,t-, 3 1... \ <br /> 19�Vn iV�ai'- tt�_ fa / v Er_ r <br /> r3. *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 /> (# I Temporary closures x $80) - 80. <br /> 4. *Perma.nent 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 1 Total Fee Due $286. <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 <br /> b. 3 Additional Tanks x $50 Diel <br /> 2. State Sur �p O <br /> charge, 4 Tanks x $56 <br /> 3 119th <br /> Total Number of Tanks 4 Total Fee Due E A6ME?iTAL 14EALIW <br /> FERMIT/SERVICES <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 12/85 <br />