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FEE WORKSHEET <br /> DBA ARC r + a cLl�ii4ti, uuC <br /> 1211 S.TURNPIKE ROAD <br /> ADDRESS STOCKTON,CALIFORNIA 95206 <br /> (209)463-4186 <br /> 1. Operating .Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. I,;D <br /> b. Additional Tanks (# Q Additional Tanks x $50) D <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> \$56 x I u i #� Tan ) _ <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) Q <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) <br /> Total Number of Tanks / Total Fee Due ,� a <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, i unleaded, 1 supreme, 1 waste oil ) <br /> la. 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. 1 19$6 <br /> ENVIROMENTAL HEALTFj <br /> 12/85 FERMIT/SERVICES, <br />