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FEE uORKSHLLT PER EACH FACILITY• <br /> FACILITY <br /> DBA ADDRESS foo� L <br /> ri/ILING ADDRESS 514 <br /> f <br /> 1. Operating Permit Application/Annual Inspection Fee 8 6 AJ O t7, <br /> a. First Tank at Facilitv @ $150. <br /> b, Additional Tanks (p Additional Tanks x $50) X7 <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> ($56 x Total q 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 /> (N_ Temporary closures x $80) (See above /3 to 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 r <br /> of re-using tank _ <br /> (# ( Permanent Closures x $90) <br /> S. Plan Check Fee $30. <br /> Total Number of Tanks ( Total Fee Due <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, l unleaded, 1 supreme , I waste oil ) <br /> la . Existing Facility & Ist Tank $150 <br /> b. 3 Additional Tanks x $50 15(1 <br /> 2. State Surcharge , 4 Tanks x $56 21' <br /> Total Number of Tanks -4 Total Fee Due 552 <br /> 'Both closures will be conditioned. Contact a Health District Representative. <br /> 2-R6 • • <br /> UC, ( <br />