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FEE WORKSHEET <br /> DBA Johnny's Texaco <br /> ADDRESS 641 E. Charter Way Stockton, CA 95206 <br /> Mailing address for tank registration only 2191 Navy DR. Stockton CA <br /> 95206 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. 150-- 00 <br /> b. Additional Tanks (# 3 Additional Tanks x $50) 1500 . 00 <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> (556 x Totwl # 4 Tanks) - — - 224 .00 <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 /> 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 4 Total Fee Due $524 . 00 <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 <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> la. Existing Facility & 1st Tank $150 <br /> b. 3 Additional Tanks x $50 n O <br /> 2. State Surcharge, 4 Tanks x $56 ® F <br /> Total Number of Tanks 4 Total Fee Due 5 1986 <br /> ENVIROMENTAL HEALTH-- <br /> FERMIT/SERVICES <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 12/85 / <br />