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FEE WORKSHEET <br /> DBA MORTON PAINT COMPANY <br /> ADDRESS 38 W. SONORA STREET ( P.O. BOX 1646 ) STOCKTON, <br /> CA 95201 , <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. <br /> b. Additional TanksAddition <br /> ( 9 al Tanks x $50)# 150 , 0p <br /> 2. State Surcharge (per tank 45� 000 <br /> � (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> ($55 y Total 10Tan,r k � <br /> ,, <br /> 3. *Temporary Closure (per tank) Underground Storage Tank in which 560, 00 <br /> storage has ceased but where the owner/operator proposes to <br /> re-use tank within 2 years. <br /> (# 0 Temporary closures x $80) <br /> 4. *Permanent Closure (per tank) Underground Storage Tank in which 0 <br /> storage has ceased and where the owner/operator has no intent <br /> of re-using tank within next 2 years. <br /> (# 0 Permanent Closures x $90) <br /> 0 <br /> Total Number of Tanks 10 <br /> Total Fee Due $1�16p , 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 /> Ia. Existing Facility & 1st Tank $150 <br /> b. 3 Additional Tanks x $50 <br /> 150 <br /> 2. State Surcharge, 4 Tanks x $56 <br /> Total Number of Tanks 4 Total Fee Due <br /> FEB 18 19!86 <br /> ENWROMENTAL JqEAL.1-ij <br /> *Both closures will be conditioned. Contact a Health District Re resfA" JERyICE� <br /> 12/85 <br />