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CO <br /> MAILING ADDRESS <br /> I• Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility P S150. <br /> b, Additional Tanks (N Additional Tanks x 850) <br /> 2• State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> (856 x Total N Tanks) <br /> 3• 'Temporary Closure <br /> (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 /> (N _ Temporary closures x 880) (See above Y3 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 /> of re-using tank _ <br /> (N-�-/- Permanent Closures x $90) RECLIVBb <br /> i. Plan Check Fee 830. - <br /> OCT 27 1988 <br /> ENVIRONMENTAL HEALTH <br /> Total Number of Tanks A PERMITISERVICES <br /> Total Fee Due 6 <br /> take all fees payable to San Joaquin Local Health District Enclose this worksheet <br /> ,i ti- <br /> GATE INVOICE AMOUNT 90-106 <br /> WESTERN METER SERVICE, INC. 1211 <br /> 2735 TEEPEE OR. SUITE E <br /> STOCKTON,CA 95205 9314 <br /> (209)948-6124 <br /> PAY_ <br /> �� ----� ^OLLARS <br /> GATE - TO THE ORDER OF cR055 nNOURT <br /> OTNEF eCCTs.PAYABtL DISCOUNT CHECK AMOUNT <br /> WESTERN METER SERVIC IQC. <br /> I <br /> UNON SAFE DEPOSIT BANK ' <br /> SOCKTON,CALIFORNIA Y <br /> ;6 Criu sr <br /> I <br />