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kSHCET PER EACH FACILITY <br /> FACILITY <br /> Chevron USA , Inc . <br /> AOORESSHardin Way <br /> _[NG AOORESSc/0 Oil Equipment Service , PO Box 950 , San Andreas , CA 95249 <br /> Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $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 and temporary closure) <br /> ($56 x Total I 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 /3 to calculate surcharge) <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 , <br /> (l 3 Permanent Closures x $90) PAYMENT 270 . 00 <br /> RECEIVED <br /> Plan Check Fee $30. NOV 16 1988 <br /> ENVIRONMENTAL HEALTH <br /> Total Number of Tanks PERMITISEWWtal Fee Due 270 . 00 <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check_ 1J� <br /> 130-51 <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> ( I regular, 1 unleaded, I supreme. 1 waste oil ) <br /> Ia. Existing Facility 8 1st Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x S56 224 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> EH 23 032 2/86 <br />