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FEE WORK-SHEET PER EACH FACILITY <br /> FACILITY .C'stY of Lodi Parks & Recreation <br /> DBA City of Lodi ADDRESS 125 N. Stockton St , , Lodi , CA 952 +0 <br /> MAILING ADDRESS City Hall , Call Box 3006, Lodi , CA 95241 -1910 <br /> 1. New Facility or Addition <br /> a. First Tank $180. <br /> b. Additional Tanks {# Additional Tanks x $50) <br /> 2. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. <br /> b. Additional Tanks (# Additional Tanks x $50) <br /> 3. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> ($56 x Total # Tanks) <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 surchg;ge) <br /> 5. *Permanent Closure (per tank) Underground Storage Tank inVP41 1'6�So <br /> storage has ceased and where the owner/operator has no if'r,,y <br /> of re-using tank within next 2 years. �0 <br /> (# 1 Permanent Closures x $90) lfi�dt4tgNA P'L $90 <br /> �v 4ERNM��ISR <br /> Total Number of Tanks 1 Total Fee Due $90 <br /> Make all fees payable to San ,Joaquin Local Health District. Enclose this worksheet <br /> with your check. <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular, 1 unleaded, I 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 /> It— <br /> Total Number of Tanks 4 Total Fee Due $ <br /> t4 r IY8b <br /> ENVI AMENTAL HEALTH <br /> *Both closures will be conditioned. Contact a Health District Re resent SERVICES <br />