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F E WORK°Si!FET PER EACH FACILITY, <br /> FACILITY Maintenar & Operata,ons, Yard <br /> D3,1 ic>di Unified School. Dis� ADDRESS 31' �o P �. Ave.; Lodi, CA 95240 <br /> KJ,! L1NG ADDRESS 815 West IockeEo�d.SL. ''Lodi CA , 952'40 <br /> 1 . New Facility or Addition ------ <br /> a. <br /> --a. First Tank $180. <br /> It. Additional Tanks (#' Additional Yanks x $50) <br /> ., I <br /> 2 Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and lst Tank @ $150, 150. <br /> b. Additional Tanks (Ii 2. Additional Tanks x $50) 100. <br /> , <br /> State Surcharge (per' tank) ,'(Due with, Permit' Application, <br /> on renewal or amendment 4floperati6n' permit and tempora'r'y closure) , <br /> ($56 x Total 4 _ Tanks).' 168. <br /> 'Temporary Closure (per tank) Underground Storage Tankin which, <br /> storage has ceased but where the owner/operatgr proposes to <br /> re-use tank within ,2-years, <br /> ( < temporary closure's x $80) (See above i3' to calculate surcharge) <br /> 'Perranent 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 z $90) - <br /> Total Number of Tanks 3 Total Fee Due (144188,, <br /> Make all fees payable to San Joaquin Local -Health District. Enclose this worksheet I1S/l <br /> wth your check. <br /> EXAMPLE - Annual Fee for F'aci.lity with 4 Tanks <br /> -- -- (1 regular, len'eade�d '_ supreme, 1 waste oil ) <br /> Ia. Existing Facility &' 1st Tank $150 <br /> b. 3 Additional T,anks 'x $50 150 <br /> e 4 Tanks x $56 224 ' <br /> 2. State Surcharge, <br /> Total Number of Tanks 4 Total Fee Due., S524 <br /> `Doth closures will be conditioned ' Contact a 'Hea'lth `District RepresenPi ,tive. <br /> ! Ill I II <br /> - <br /> 11 - <br /> '; t I li:1 •,. l IA L' 1 11 !r - r y,. 1,�e,.a.c- y,.a>r'Av'.�,y+i�` <br />