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4 , <br /> e <br /> f 'y" <br /> p �g <br /> i$ �,M '6 M°" #sr .�' is�A #i F '' •* w:t ''ts^'-F y` 5" <br /> n c .; <br /> `nRxf _ P <br /> AAi ,r 'd <br /> ` ► # rink ���i o� rl to"Oe FARin Which <br /> x _ :; <br /> ft <br /> ��Se Ve 3 to calculate" suftharge <br /> rt nes and Storage Tank in Which <br /> eApperat <br /> ® <br /> tM- e '.° s,. $90 <br /> IF <br /> Check-, etk <br /> jOs <br /> was <br /> Rl <br /> sa ° C ' <br /> T�talN er ai` Tanks �. <br /> TotaY fee <br /> z e <br /> Make all fees; payable to SanJoa uin` Local Nealth District. Enclose `this worksheet <br /> with your Check: <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular. 1 unleaded® 1 supreme. 1 waste oil) <br /> Ia. Existing Facility b lst Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge.-,4 Tanks;-x $56 224 <br /> 777 <br /> Total Nu er of Tanks 4 <br /> Total Fee Que :$524 <br /> * th10 � <br /> —fttact W3, th srl 3g <br />