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FEE WORKSHEET <br /> DBA Tenneco West Inc . <br /> ADDRESS P 0 Box 277 Victor, CA 95253 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and ist Tank @ $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 /> ($56 x, Total # 1 Tanks) <br /> 3. *TeTporary Closure (per tank) Underground Storage Tank i ,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 /> (#�_ Permanent Closures x $90) CJ_�__ <br /> Total Number of Tanks 1 Total Fee Due <br /> Make all fees payable to San Joaquin Local Health 'District. Enclose this uiorksheet <br /> with your check <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular, 1 unleaded, 1 supreme, I 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 /> 12/85 <br />