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fAl.IL1ii Public Satet 3uilding <br /> DBA City of Lodi ADDRESS 230 W FIM 5 P r Lodi re 95240 <br /> I <br /> MAILING„ADDRESS City Hall , Call Box 006 LoAf CA 552 - 1 <br /> 1. New Facility or Addition r <br /> a. First Tank. $180. <br /> b. Additional Tanks (i Additional Tanks •x $50) <br /> 2. Operating .Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. <br /> b. Additional Tanks (3i 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 /> ($56x 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 /> V Temporary closures x $80) (See above #3 to calculate surcharge) <br /> 6. *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 /> R 1 Permanent Closures x $90) 0.00 <br /> Total Number of Tanks 1 Total Fee Due $ 90.00 <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 /> 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 /> P P V 0V141' <br /> REG <br /> *Both closures will be conditioned. Contact a Health District Representativg t 3�g81 t .. <br /> . Q ENZ PL NE, <br /> 2-86 ENv�Po �j,SE�v\c <br />