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FEE WO(V.:SHE NT <br /> DBA <br /> ADDRESS <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st 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 /> ($56x Total # 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) \ <br /> 4. *Permanent Closure (per tank) Underground Storage Tank i w ich <br /> storage has ceased and where the owner/operator has no in NDue <br /> of re-using tank within next 2 years. <br /> (# Permanent Closures x $90) <br /> Total Number of Tanks TotalMake all fees payable to San Joaquin Local Health District. En <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 $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 224 ((��(`�'���{�(h' <br /> Total Number of Tanks 4 Total Fee DuepCI.�11Vjl� til <br /> JAN 2 9 1�4du (tivvJJ{{ <br /> *Both closures ll be conditio ed. Contact a Health District Re NYIR(JM dTAL HEALTH <br /> ��;�I�i�" RYICES <br /> 12/85 <br />