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FEE WORKSHEET PER EACH FACILITY <br /> FACILITY _ <br /> DBA 1'UNEUP MASTERS ADDRESS 414 w r'uz{RTL:.R w4y. 2mnC.z� � <br /> MAILING ADDRESS 2001 CORPORATE CENTER DR_ NEWRITRY P➢PK (-A 9320 <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. n <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 /> 4.56 x Total M 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 /> (/_ 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 the qwner/operator has no intent <br /> of re-using tank . <br /> (l Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks 1 Total Fee Due 206 <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, l supreme, 1 waste oil ) <br /> la. Existing Facility 6 1st Tank 5150 <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 /> 2-20 <br /> UC--7 1 <br />