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FEE WORKSHEET <br /> DBA M. CALOSSO & SON,INC., <br /> ADDRESS 1947 E. MINER AVE. , S"TOCKTON, CALIF. 95205 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing 'Facility and 1st Tank @ $150. 4- <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 /> 112.00 <br /> ($56 x Total # 2 Tanks) <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 /> f# PPrManent Closures Cures x $90) <br /> Total Number of Tanks Total Fee Due <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 ) Tza Of <br /> la. Existing Facility & 1st Tank .� <br /> b. 3 Additional Tanks x $50 _ <br /> 2. State Surcharge, 4 _Tanks x $56 22PEB 2 8 1988 <br /> Total Number of Tanks 4 Total Fee Due EMPOFERII7fSEL HEALTH <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 12/85 is 0 <br />