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FEE WORKSHEET <br /> INER'S SERO SERWE <br /> DBA �IN DBE[2c crorrr <br /> S'iOCKTON METRO AIRPORT <br /> ADDRESS STOUTON, CA 95206.3901 <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. <br /> b. Additional Tanks (# Additional Tanks x $50) <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> ($56 x Total # XTanks) <br /> •' i� tank) UndergrgLlrid Storano Tank i <br /> .3. ` �flf�ur'dr`y iiu5�i�'� (psi' ta ) �. r whirh <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 Tanks3 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 <br /> 2 State Surcharge, 4 tanks x $56 4 <br /> & 7 1988 <br /> Total Number of Tanks 4 Total Fee Due 5524 <br /> ENVIROMENTAL HEALTH <br /> f ERMIT/SERVICES <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 12/85 <br />