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CC wORKSHCET PER EACH FACILITY <br /> FACILITY <br /> �6A MONTGOMERY WARDS ADDRESS 5400 PACIFIC AVENUE, STOCKTON, CA 95207 <br /> 4AILINC ADDRESS 39201 FREMONT BLVD. , FREMONT, CA 94533 <br /> 1. Operating Permit Application/Annual Inspection ,Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks(1 Additional Tanks x $50) <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit andtemporary closure) <br /> ($56 x Total I 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 /> (1_ Temporary closures x $80) (See above 0 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 /> 360.00 <br /> (1 4 Permanent Closures x $90) <br /> 30.00 <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks Total Fee Due 390.00 <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, l unleaded, I supreme. 1 waste oil ) <br /> Ia. Existing Facility b 1st Tank $150 <br /> b. 3 Additional Tanks x $SO 150 <br /> 2. State Surcharge, 4 Tanks x S56 224 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative_ <br /> 2 -rtG <br />