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FEE ARK-SWEET PER EACH FACILITY <br /> FACILITY f <br /> DBA ADDRESS <br /> MAILING ADDRESS <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. <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 and temporary closure) C <br /> ($56 x Total N1_ 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 /> (1_ Temporary closures x $80) (See above /3 to. calculate surcharge) <br /> 4. "Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the gwner/operator has no intent <br /> of re-using tank . <br /> 0 Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> // 00 <br /> Total Number of Tanks Total Fee Due <br /> �� <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 /> ( I regular. I unleaded, 1 Supreme, I waste oil ) <br /> Ia. Existing Facility E Ist Tank $150 <br /> b. 3 Additional Tanks x $50 ISO <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 /> _ � I <br />