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FEE WORKSHEET PER EACH FACILIS 0 <br /> FACILITY <br /> DBA Si= V \CE o ADDRESS 3440 E. Main St . , Stockton <br /> MAILING ADDRESS c cee ti G . <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. $ 150 . 00 <br /> 100 .00 <br /> b. Additional Tanks (# 2 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 # 3 Tanks) 168. 00 <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-!sing tank within next 2 years. <br /> (# Permanent Closures x $90) --- <br /> Total Number of Tanks 3 Total Fee Due $ 418. 00 <br /> Qj\ <br /> $(T� <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet %A <br /> with your check, <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 closures will be conditioned Contact a Health District Representative. <br /> 2-86 0 0 <br />