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KSHEET <br /> R <br /> ' ting Permit Application/Annual Inspection Fee <br /> existing Facility and 1st Tank @ $150. �s <br /> ditional Tanks (# Additional Tanks x $50) <br /> . Surcharge (per tan (Due with Permit Application, <br /> newal or ame�ndm�nt of operation permit) <br /> Total # [Tanks) y <br /> Icnp vrary -..sure (/(per tank) UndergroundStorage Tank ili 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 � Total Fee Due <br /> Make all fees payable to San Joaquin Local Health 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 & 1st Tank $150 <br /> b, 3 Additional Tanks x $50 �� 0 <br /> 2. State Surcharge, 4 Tanks x $56 p <br /> Total Number of Tanks 4 Total Fee Du <br /> ENFE T/ETHMISRVICES <br /> *Both closures will be conditioned. Contact a Health District Representative <br /> 12/85 <br />