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WORKSHEET <br /> DBA Modesto Tallow Co. DBA California Spray Dry Co. <br /> A, DRESSP• O. Box 503S , 4221 E. Mariposa Road, Stockton, Ca. 95205 <br /> : . Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and Ist Tank @ S150. $150 <br /> b. Additional Tanks (# 1 Additional Tanks x $50) 50 <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> (S55x Total # 2 Tanks) 112 <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 /> (#_ 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 /> (# 1 Permanent Closures x $90) 90 <br /> Total Number of Tanks 3 Total Fee Due $402 <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 8 1st Tank $150 <br /> b. 3 Additional Tanks x S50 150 <br /> 2. State Surcharge, 4 Tanks x S56 <br /> Total Number of Tanks -4 Total Fee Due sr <br /> FEB 2 8 lydb <br /> ENVIROMENTAL HEALTH <br /> *Both closures will be conditioned. Contact a Health District RepresentM%f /SERVICES <br /> . Fy <br /> 12/85 <br />