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FEE WORKSHE"E.T- PER EACH FACILITY <br /> FACILITY _ <br /> DBA �RESS - <br /> MAILfNG ADDRESS...._....�1. VO •,. ��"' �.�� /F C4, /x'5376 -- <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks ' (# Additional Tanks x $50) <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 # 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 w i thi n 2 years. ---- <br /> . (# 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 <br /> of re-using tank, - <br /> 0 Permanent Closures x $90) 190 <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks Total Fee Due �7 0 <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, 1 unleaded, 1 supreme, 1 waste oil ) <br /> la. Existing Facility & 1st Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, "4 Tanks x $56 224 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-86 <br /> t <br />