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FEE W0RKSK ET PER EACH FACILITY* <br /> FACILITY <br /> DBA (-;Qs EAe ADDRESS Z'y0251 <br /> MAILING ADDRESS PC) , <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $151. <br /> b. Additional Tanks (# -z- Additional Tanks x $50) 0 0 <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 N -Z- 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 /> (# Temporary closures x $80) (See above 03 to. calculate surcharge) <br /> 4. *Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the gwner/operator has no intent <br /> of re-using tank . <br /> (#_J_ Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks Total Fee Duel ' <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check. <br /> r <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 5150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x S56 224 <br /> Total Number of Tanks 4 Total Fee Due 5524 <br /> *doth closures will be conditioned. Contact a Health District Representative. <br /> �G� � f <br />