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FEE WORKSHEET PER EACH FACILIli- I <br /> FACILITY <br /> S'�; E1 <br /> DBA � Q � <br /> AU � � - 'FI F�—T� J ADDRESS <br /> 7 , <br /> MAILING ADDRESS fi� PAD C-e <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) <br /> ($56 x Total #--L 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) (See above #3 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 /> (# Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks l Total Fee Due �t2 <br /> ')r �'i 0 (2,10SWu Janj <br /> �cP L, 618&—V'P yu 5 s." , � W j) he a <br /> &L <br /> Make all fees payable to oaquin Local Health District. Enclose this worksheet _ P ' <br /> with your check. <br /> EXAMPLE- Annual Fee for Facility with 4 Tanks <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> la. 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 /> 2-86 <br /> u6T a� <br />