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F�C ►i0HK5liCET PER EACII FACILITY - <br /> 08A DiSalvo Truck Lines IY <br /> ADDRESS 100 Ventura St - Stockton <br /> MAILIN{ ADDRESS c/o OIL EQUIPMENT SERVICE <br /> PO Box 950, San Andreas , CA 95249 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank At Facility P $150. <br /> b. Additional Tanks (/ Additional Tanks x $50) <br /> Z. State Surcharge (per tank) (Due with Permit Application. <br /> on renewal or amendment of operation permit and temporary closure) <br /> (f66 x Total I Tanks) <br /> I• "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) (See above /3 to calculate surcharge) <br /> 4. *Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the owner/operator has no intent <br /> o1 re-using tank, <br /> (/ 1 Permanent Closures x $90) 90 . 00 <br /> S. Plan Check Fee $30. <br /> A <br /> Total Number of Tanks 1 Total Fee Due 90 . 00 <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet T <br /> 14 <br /> REGE V 15- <br /> with your check- <br /> J13N B 19BB <br /> EXAMPLE - Annual Fee for Facility with 4 TanksENVIRC)NMENTAL HEALTH <br /> ( l regular. I unleaded, 1 supreme. I waste oil ) pER111SERVICES <br /> Ia. Existing Facility 6 1st Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x S56 224 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-H6 <br />