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,1 S6 <br /> FEE WORKSHEET PER EACH FACILI Y DEFENSE DEPOT TRACY <br /> FACILITY <br /> DBA ADDRESS 2560b Chrisman Road, Tracy CA 95376-5000 <br /> MAILING ADDRESS <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 <br /> b. Additional Tanks (# 17 Additional Tanks x $50) 850 <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 # 18 Tanks) 1008 <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 /> (#7 Permanent Closures x $90) 630 <br /> Total Number of Tanks 25 Total Fee Due 2638.00 <br /> Make all fees payable to San Joaquin Local Health District. i.-nclose this worksheet�15t-71s*eo <br /> with your check. <br /> MAY 021M <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) W=D"rwisG" <br /> la. Existing Facility 8 1st Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 224 010)30518 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> 203589 <br /> *Both closures will be conditioned. Contact a Health District. Representative. <br /> 2-86 Attachment <br /> r <br />