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FEE WORKSHLET PER EACH FACILII6 <br /> FACILITY <br /> is <br /> N & S Irrigation DBA g ADDRESS 215 W. Main, Ripon <br /> MAILING ADDRESS 215 W. Main, Ripon <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks (d Additional Tanks x $50) <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> (S56 x Total K Tanks) <br /> 3. "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 /> (M Temporary closures x $80) (See above /3 tq. calculate surcharge) <br /> 4. "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 . <br /> (d 2 Permanent Closures x $90) $180 <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks 2 Total Fee Due $180 <br /> Billing date: 4/22/87 - Due IMMEDIATELY <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, I unleaded, 1 supreme, 1 waste oil ) <br /> Ia. Existing Facility b 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 Representative. <br /> U0-T '� I <br />