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• .,,;. tea,. . <br /> fLE wUfacyaHLL1 PER EACH fAGllllr <br /> `" FACILITY <br /> ..... DRESS <br /> MAILING ADDRESS <br /> • <br /> 1. `;Operating ';Permit Application/Annual 'Inspection Fee , <br /> a, First. Tank et Facility P SI54.` <br /> b. Addi.tional` Tanks (M 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 within 2 years. <br /> (N Temporary closures x $80) (See above 13 to calculate surcharge) - <br /> 4, *Permanent Closure (per tank) Underground,S�grage Tank in which <br /> storage has ceased 'and where'`the owner/operator has no intent <br /> f <br /> of re-using tank'. <br /> (t Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks Total Fee Due <br /> Make all fees payable to San Joaquin Local Health District. EnclosR�Eheet <br /> /VE <br /> with your check, <br /> �P) <br /> P&� �Nr,4t N <br /> EXAMPLE - Annual Fee for Faci 1 i ty with 4 Tanks �SrRV/CFSTy <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> Ia. Existing Facility 6 1st Tank $150 <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 $524 <br /> *Both closures will .be conditioned. Contact a stealth District Representative._ <br /> 2-116 <br /> uaT' .( <br />