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: EE WCit::�)NEET <br /> DBA c /--o,ec'sr P,,0ooucrs Come// <br /> MAK 9 1987 <br /> ADDRESS "RL L .9aeF, fro cc ro Ai CR €NT — <br /> PERMI7/SERyICES <br /> Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. /So <br /> b. Additional Tanks (# 3 Additional Tanks x $50) /SO <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) 9'1 <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 /> �. *Perrarent Closure (per tank) Underground Storage Tank in which <br /> storage ceased and where the owner/operator has no intent <br /> of re us; tank within next 2 years. <br /> (= ,3 Pcrr,.nent Closures x $90) <br /> 270 <br /> Total Nur:b-_r of Tanks 7 Total Fee Due . � s 7 9 q <br /> PRI 1-23 - 86 70 4� <br /> Fake all fee,- payable to San Joaquin Local Health District. Enclose this wor&sheet <br /> with vcur check and the completed application. <br /> Annual Fee for Facility with 4 Tanks <br /> (1 regular, 1 unleaded, 1 supreme, i waste oil ) <br /> 1a. Existing Facility & 1st Tank i $150 - <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $5c 224 <br /> "otal Number of Tanks 4 Total Fee Due $524 <br /> i <br /> *Both closures will be conditioned. Contact a Health District Represert,tive. <br /> �^ /- Z3 - 86 <br /> 12/85 W RC!✓. 3- 6 - a� <br /> ti/ <br />