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FEE. WOk-514CET PER EACH FACILITY <br />. � FACILITY , <br />ADDRESS 205 E. Whetmore, Manteca <br />of Manteca <br />C. ty <br />T ' ' <br />MAIL* ADDRESS c/c oil. Equipment Service_ <br />PO Bax 950, San Andreas, CA 952+9 <br />1. Operating Permit Application/Annual inspection Fee <br />a. First Tank at Facility N $15. <br />b. Additional Tanks (1 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 / 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 gears. <br />(/ Temporary closures x $ao) (See above f3 to calculate surcharge)--�--r-- <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 />(f Permanent Closures x $90) <br />S. Plan Check Fee $30. <br />Total Number of Tanks Total Fee We 180.00 <br />Make all fees payable to San Joa uin Local Health District.,,Enclose this worksheet <br />with your check, <br />EXAMPLE - Annual Fee for Facility with 4 Tanks <br />(1 regular. l unleaded, 1 supreme, 1 waste oil) <br />Ia. Existing Facility b 1st Tank <br />b. 3 Additional Tanks x $50 <br />2, State Surcharge, 4 Tanks x $56 <br />Total Number of Tanks 4 <br />Total Fee Due <br />PA jMr <br />$150 Ree1 Ve0 . <br />15OOC. C 19 198th <br />F�M`�Nrat SEALTH <br />$524 �T/ �R��CES <br />*Both closures will be conditioned. Contact a Health District R. resentative, <br />EH 23 032 2/86 0 <br />L' <br />