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.. f I-1e a.l�4 <br /> FEE woRxIsHEEr PER EACH FACIL S.t /c44- <br /> DBA South San <br /> Joaquin Irrigation District FACILITY =Jif <br /> ADDRESS 31031 E Hwy. 320 <br /> MAILING ADDRESS Samenteca, CA 95336 <br /> 1= New Facility or Addition <br /> a. First Tank $180, <br /> b• Additional Tanks <br /> #---_ Additional Tanks -x $50) <br /> 2• Operating Permit A pplicati -~ <br /> on/Annual Inspection Fee ---- <br /> a. Existing Facility and Ist Tank @ $150. <br /> b. Additi0nai Tanks (# 2 <br /> Additional Tanks x $50) <br /> 3. State Surcharge (per tank <br /> (Due with Permit Application, �-�- <br /> on renewal or amendment of operation permit <br /> ($56 x Total # 3 Tanks) and temporary closure) <br /> 4. 'Temporary Closure <br /> (per tank) Underground Storage Tank in which 4,j-b8 <br /> storage has ceased but where the owner/operator proposes <br /> ^� <br /> re-use tank within 2 years. p es to <br /> (# Temporary closures x $80) (See above #3 <br /> to <br /> 5. *Permanent Closure (per tank) Underground Storage T naIcuiate surcharge) <br /> storage has ceased and where the owner/operator h k in which �— <br /> of re-using tank within next 2 years. as no intent <br /> (# 2 Permanent Closures x $90) <br /> 180 <br /> Total Number of Tanks 5 <br /> Total Fee Due <br /> Make all fees Payable to San Joaquin Local -Health Distri <br /> with your check, ct• Enclose this worksheet ! <br /> EXAM - Annual Fee for Facility <br /> with 4 Tanks <br /> (I regular, I unleaded I <br /> Ia. Existing Facility& 1stpTnk ' 1 waste oil } <br /> b• 3 Additional Tanks x $50 $150 <br /> 2. State Surcharge, 4 Tanks x $5b 150 <br /> 224 <br /> Total Number of Tanks 4 <br /> -- Total Fe�=Due $524 ; <br /> ;0th closures will be condi <br /> tToned. Contact a Health District Re r�esentati�+`, <br />