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FEE WORKSHEET PER EACH FACILITI. <br /> FACILITY <br /> DBA City of Lodi ADDRESS Well #5. Mills yosemlte <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 sjgWh rge) <br /> 5. *Permanent Closure (per tank) Underground Storage Tank in whifb e C BJy�Dr <br /> storage has ceased and where the owner/operator has no intent C <br /> of re-using tank within next 2 years. 2 7986 <br /> (# i Permanent Closures x $90) ENVIRpNMENT $ 90-- <br /> . PERMITISE VIESALTIj <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 z <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) o rn <br /> la. Existing Facility & 1st Tank $150 ::4 m `� <br /> � Z Cel <br /> b. 3 Additional Tanks x $50 150 m a <br /> <r- coo t/ <br /> 2. State Surcharge, 4 Tanks x $56 224 N X as <br /> Total Number of Tanks 4 Total Fee Due $524 = r— <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-86 <br />