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FEE WDRKSHEET PER EACH FACILITY <br /> Prestige Stations Inc. #602 FACILITY 501 W Kettleman Lane <br /> DBA ADDRESS r <br /> - odi, CA Q5�40 <br /> MAILING ADDRESS 2000 Alameda DE Las Pulgas, San Mateo, CA 94403 <br /> New Facility or Addition <br /> a. First Tank $180. ro <br /> b. Additional Tanks (# Additional Tanks x $50) <br /> Operating Permit Application/Annual Inspection Fee <br /> 150 <br /> a. Existing Facility and 1st Tank @ $150. <br /> b. Additional Tanks (# 2 Additional Tanks x $50) 100 <br /> l SState Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> ($56 x Total # '� Tanks) 168 <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 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 /> la. Existing Facility & 1st Tank $150 �J <br /> b. 3 Additional Tanks x $50 150 � '� <br /> 2. State Surcharge, 4 Tanks x $56 224 <br /> APR 1 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> ENVIR HEALTH <br /> F ER,�ltl/Atj SERV CES <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-86 <br />