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FEE WORKSHEET PER EACH FAC®RTY <br />DBA City of Lodi <br />41 <br />FACILITY ,Lodi Fire Station #2 <br />4nnDCCC 705 E. Lodi Ave., Lodi, CA <br />MAILING ADDRESS City Hall, Call Box 3006, Lodi, CA 95241-1910 <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. <br />b. Additional Tanks (# Additional Tanks x $50) <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) <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 �i�nnY Ch <br />M E N T <br />storage has ceased and where the owner/operator has iW Ei&9qV E D <br />of re -using tank within next 2 years. FEB 13 1987 <br />(# 1 Permanent Closures x $90) <br />Total Number of Tanks 1 <br />ENVIRONMENTAL HEALTH <br />PERMITISERVICES <br />Total Fee Due <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) <br />Ia. Existing Facility & 1st Tank $150 <br />b. 3 Additional Tanks x $50 150 <br />2. State Surcharge, 4 Tanks x $56 224 <br />Total Number of Tanks 4 Total Fee Due $524 <br />*Both closures will be conditioned Contact a Health District Representative. <br />6 <br />$90 <br />$90 <br />