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FEE WORKSHEET PER EACH FACILITO FACILITY <br /> DBA �' I oP STo� KTo ADDRESS <br /> MAILING ADDRESS 4z.1—--- 2� <br /> -- - - - - - <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. /So <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 /> 5� <br /> ($56 x Total #__J _ 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 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-using tank within next 2 years. <br /> (# Permanent Closures x $90) <br /> Total Number of Tanks 1 Total Fee Due 2 <br /> V--ke all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> -,: ch 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 0 ()Irl <br /> b. 3 Additional Tanks x $50 <br /> 2. State Surcharge, 4 Tanks x $56 <br /> Total Number of Tanks 4 Total Fee Due EWjOM ENTAL HEALTH <br /> FER^.SIT/SERVICES <br /> *Both closures will be conditioned Contact a Health District Representative. <br /> 2-86 <br />