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<. EACH FACILITY <br /> i `RESS <br /> zrr NArzv_ <br /> ,DRESS t <br /> Operating Permit Application/Annual< Inspection Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional 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 /> ($56x Total /__:7 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 N3 to calculate surcharge) <br /> 4• Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where theowner/operator has no intent <br /> of re-using tank <br /> 0 7 Permanent Closures x $90) = <br /> •o_'rn <br /> 5. Plan Check Fee $30. <br /> i <br /> Total Number of Tanks Total Fee Due j • <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check. <br /> P p`Y�tv lE� <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks JUN 1 4 1�aa <br /> 0 regular, 1 unleaded, 1 supreme. 1 waste oil ) OwAO9L "E11- <br /> CES <br /> a. Existing Facility b 1st Tank $150 ►V, 1.11soffi- <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State .Surchar9 e 4 Tanks $56 224 <br /> — x �0 r <br /> Total Number of Tanks 4 Total Fee Due` $524 <br /> "Both closures will be conditioned. Contact a Health District Representative. <br />