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FEE WORKSHEET PER EACH FACILI0 <br /> DBA City of Lodi FACILITY • <br /> ADDRESS Well 4 t1 ' <br /> MAILING ADDRESS City Hall , Call Box 3006, Lodi <br /> CA 95241-1 l0 <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 <br /> ($56 x Total N and temporary closure <br /> Tanks) ) <br /> ,I;4. *Temporary Closure (per tank) Underground Storage Tank in which <br /> a: <br /> storage has ceased but where the owner/operator proposes to <br /> re-use tank within 2 years. <br /> U_ Temporary closures x $80) (See above N3 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 int p�tM gNT <br /> of re-using tank within next 2 years, p j G IV F'10 <br /> (# 1 Permanent Closures x $90) <br /> RE <br /> N4V 1819A S 90 <br /> Total Number of Tanks 1 F tIR NME St VICES <br /> $ERt �e $ 90 <br /> Make all flees payable to San Joaquin Local Health District Enclose this worksheet <br /> -qi th your check. <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> Ia. 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 Closures Will be conditioned. Contact a Health District Re resentative. <br /> 2-86 <br />