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FEE WORKSHEET PER EACH FACILIO <br /> FACILITY <br /> DBA ADDRESS 15634 South Steinegul Road, Escalon, CA <br /> 95320 <br /> MAILING ADDRESS 3128 East Fremont Street Stockton CA 95205 <br /> 1. New Facility or Addition <br /> a. First Tank $180. <br /> h. -Au itronal Tanks (# Additional Tanks x $50) <br /> 2. Opera::::, Permit ApplicationjAnnual Inspection Fee - <br /> a. Fxi i<ng Facilit and st T nk @ $150, j�p. `� <br /> b. Additional Tan s (# Ad 1tional Tanks x $50) Sz' � <br /> 3. State Su', -barge (pe tank) a with Permit Application, <br /> on rene7 ,; or amendment of operation permit and temporary closure) <br /> ($56 x To; al # Z Tanks) // Z <br /> 4. *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 /> 5. *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 within next 2 years. <br /> (#_ Permanent Closures x $90) <br /> Total Number of Tanks 2— Total Fee Due. <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check. Ory <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 closu-es will be conditioned. Contact a Health District Representative. <br /> 2-86 CONTACT PERSON: Denise Phillips @ (209) 465-7279 <br />