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LL WUKKJAiLL I P L H EACH FACILI <br /> DBA ~" FACILITY <br /> Federal band Bank ADDRESS 701 Dietrich Rd Stockton, CA <br /> MAILING ADDRESS P.O. Box 8366 Stockton, CA. 95208 ATTN: Les Strojan <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks (# Additional Tanks x $50) l <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 within 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 /> (# 1 Permanent Closures x $90) 90 01) <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks i Total Fee Due 9r1 on <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 ) 4ia�V� <br /> la. Existing Facility & 1st Tank $150 <br /> Q P�Cf <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 224 s� 'i- <br /> Total Number of Tanks 4 Total Fee Due $524 �_J,�Q`� <br /> \L� <br /> U' q.0 <br /> *Both closures will be conditioned. Contact a Heal <br /> .th_Oistrict..Re resentative: <br /> 2-86 <br /> a� <br />