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FEE WORKSHEET PER EACH FACIL 0 <br /> FACILITY <br /> DBA <br /> P� l(�ii L/ ADDRESS L/6 97 1�7 L r v D 19 K IP <br /> MAILING ADDRESS -/647 —15. 1-14, )PJ Loa/ C w Soya <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. FFR ` <br /> b. Additional Tanks (N Additional Tanks x $50) ENVIROMENTAL HEALTH <br /> 2. State Surcharge (per tank) (Due with Permit Application, FERMIT/SERVICES <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 p3 to calculate surcharge) <br /> 4. *Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the owner/operator has 'M Ep <br /> of re-using tank . REG1981 <br /> p v <br /> (N ( Permanent Closures x $90) FEB 1 rb° <br /> 5. Plan Check Fee $30. �Nv,P� l�i ERV CES`jN <br /> Total Number of Tanks Total Fee Due <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet (S I�Ao <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 /> 0 aT a I <br />