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7� .s�S" <br /> FEE WW"SHEET PER EACH FACILII <br /> t FACILITY <br /> DBA R. Swearingen D Howard ADDRESS 6100 N Highway 99, Stockton, CA 95205 <br /> MAILING ADDRESS 2000 Alameda De Las Pulgas, San Mateo, CA 944n-I <br /> 1 . New Facility or Addition <br /> a. First Tank $180. <br /> b. Additional Tanks (# Additional Tanks x $50) <br /> 2. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. 150 <br /> b. Additional Tanks (# 4 Additional Tanks x $50) 20C <br /> 3. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> ($56 x Total # ; Tanks) 2RO <br /> 4. *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) (See above #3 to calculate surcharge) <br /> 5. *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 5 Total Fee Due - "A'o v <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check. <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) �5 b <br /> la. Existing Facility & 1st Tank $150 14'8 <br /> lY <br /> b. 3 Additional Tanks x $50 <br /> 2. State Surcharge, 4 Tanks x $56 <br /> Total Number of Tanks 4 Total Fee Due $524 APR <br /> HEALTH <br /> F ER-,'.11/SERMON=S <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-86 <br />