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FEE uORKSHCET PER EACH FACILITY - - <br /> / � FACILITY <br /> DBA 1 / �2�i/t� S-1W16 Z,5AfTORESS <br /> MAILING ADDRESS <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks (N 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 /> (S56 x Total N 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 f3 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 , ��ee���� <br /> (#__/ Permanent Closures x $90) G�S7°> <br /> S. Plan Check Fee $30. 7set s <br /> 90 <br /> Total Number of Tanks <br /> Total Fee Due <br /> Lo— <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> t�/.e7�TF�Rr�Fw:1 <br /> with your check. <br /> 2 G 1987 CD <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks E VIROMENTAL HEALTH <br /> ( 1 regular, I unleaded, 1 supreme, 1 waste oilkERMIT/SERVICES <br /> Ia. Existing Facility b 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 Health District Representative. <br /> � -p,G <br />