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EE WORKSHEET PER EACH FACILIT" <br /> FACILITY <br /> DBA PRODUCTION CHEMICAL MEG. INC . ADDRESS 1000 EAST CHANNEL ST. STOCKTON, CA <br /> MAILING ADDRESS SAME 95205 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. 150 . <br /> b. Additional Tanks (# 0 Additional Tanks x $50) 0 • <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 # 1 Tanks) 56 . <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 /> (# 0 Temporary closures x $80) (See above #3 to calculate surcharge) 0 • <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 /> (# 0 Permanent Closures x $90) 0 - <br /> 5. Plan Check Fee $30.--?? ? Not included in example below?? 0 . <br /> Total Number of Tanks 1 Total Fee Due 206 . 00 <br /> o� <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 ) <br /> Ia. Existing Facility & 1st Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 224 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-£16 <br />