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EEE WO -SKET PER EACII FACILITY <br /> FACILITY �,.,/ <br /> DBA ,� ADDRESS <br /> 0(LING ADDRESS 7-6 AJ <br /> 1 . Operating Permit Application/Annual Inspection .Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks (I 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 /> M6 x Total 1 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 /> (I Temporary closures x $80) (See a6ove 13 to calculate surcharge) <br /> 4. *Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the owner/operat <br /> of re-using tank , <br /> (12— Permanent Closures x $90) J <br /> 5. Plan Check Fee $30. <br /> Total dumber of Tanks Total Fee Due <br /> COLLEGE SQUARE OFFICE 7663 <br /> IV a P.O. BOX 588, STOCKTON,CA 95201 WELLS FARGO BANK <br /> P.O. BOX 7237,CAPISTRANO BEACH,CA 92624-7237 STOCKTON. CA 95207 <br /> NORTH CAL P.O.BOX 214608, SACRAMENTO,CA 55821 11-24-1210 - 453 <br /> CONSTRUCTION <br /> DATE 10/27/88 AMOUNT <br /> pA1( ,;�` ONE HUNDRED AND EIGHTY DOLLARS $180 . 00 <br /> TO THE <br /> ORDER SAN JOAQUIN HEALTH DISTRICT <br /> OF: <br /> STOCKTON, CA <br /> 11800 766 311' 1: 1 2 1000 2481:04 S 3 9 2911' <br />