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FEE WORKS110ET PER EAC11 FACILITY AFC <br /> DBA10 �T L 0VT ADORE ss bk. <br /> MAILING ADDRESS <br /> Fa h F-0Q6*&)&K FA��k � <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $151. <br /> b. Additional Tanks (1 t _ Additional Tanks x $50) ` <br /> 2. State Surcharqe (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 /> (I 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 /> S. Plan Check Fee $30, <br /> Total Number of Tanks Total Fee Due <br /> Make. all fees payable to San Joaquin Local Health District. Enclose this workshee <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 b 1st Tank $150 <br /> b, 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 224 <br /> E:CE:1Vea <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> ENVIRONMENTAL <br /> �'EAtT <br /> `Both closures will be conditioned. Contact a Health District RepresentativeEaRMfT/SERVl�IS H <br /> Z-„G <br />