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0 <br /> FEE WORKSHEET <br /> DBA STOC'KTON SCAVENGER .---- <br /> ADDRESS 1240 NAVY DRIVE <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) 150 .00 <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> ($56 x Total # 4 Tanks) 224 . 00 <br /> 7 *T`.....,.....�,., f lnr� ! + I 1 llnrin"nrniinrl C+nrnnn Tnnl/ 4n .ihr`11h <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 /> Dake all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your chec <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 $56 rs�lie <br /> T b Tanks -4 Total Fee Due VfE <br /> Total Number of <br /> 3 198b <br /> ENYIROMENTAL HEALTH <br /> *Both closures will be conditioned. Contact a Health District Repre RVtCE$ <br /> 12/85 <br />