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FEE WORKSHEET <br /> DBA A & A TOOL RENTALS AND SALES , INC . <br /> 2911 E . Fremont Street; P 0 Box 8810 <br /> ADDRESS Stockton , CA 95208 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. isn . no <br /> b. Additional Tanks (# 3 Additional Tanks x $50) tFn n0 <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> M96 x Total # 4 Tanks) 224 . CO <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 /> (# 0 Temporary closures x $80) 0 <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 /> (# 0 Permanent Closures x $90) 0 <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 Facility with 4 Tanks <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> la. Existing Facility & 1st Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $55 224 r <br /> Total Number of Tanks 4 Total Fee Due $524 AP11 <br /> JAN 2 3 '1985 <br /> *Both closures will be conditioned. Contact a Health District RepresentatiMVIROMENTAL HEALTH <br /> F ERMIT/SERVICES <br /> 12/85 <br /> `- <br />