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FEE WORKSHCET PER EACH FACILITY <br /> FACILITY 7 <br /> OBA I�DLL7 JZ' `S, z <br /> ADDRESS <br /> MAILING ADDRESS //1LG S L ;T/ c o1/✓ ��% �� <br /> 1. Operating Permit Application/Annual inspection Fee 8-7 <br /> a. First Tank at Facility @ $150. �Q <br /> b. Additional Tanks (I 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 N 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 /> (I Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks Total Fee Due t/ <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, I unleaded, 1 supreme, 1 waste oil ) ((// <br /> Ia. Existing Facility b 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 /> *Doth closures will be conditioned. Contact a Health District Representative. <br /> 2 -RG 0 41 <br />