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FEE. WORKSHEET PER EACH FACILITr <br /> Stockton Metropolitan Airport FACILITY <br /> DBA County of San joaanin ADDRESS 5000 S_ Airport way <br /> MAILING ADDRESS <br /> 1. New Facility or Addition <br /> a. First Tank $180. <br /> b. Additional Tanks (# Additional Tanks x $50) <br /> 2. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150, 150 . 00 <br /> b. Additional Tanks (# 1_Q_ Additional Tanks x $50) 500. on <br /> 3. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> ($56 x Total #___LL Tanks) 616 . 00 <br /> 4. *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 #3 to calculate surcharge) <br /> 5. *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 within next 2 years. <br /> (# 8 Permanent Closures x $90) W� S�zJ S 720 . 00 <br /> &6rV / � /� <br /> Total Number of Tanks 19 �t.4y > Dotal Fee Due 1 , 986 . 00 <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 /> la. Existing Facility & 1st Tank <br /> b. 3 Additional Tanks x $50 <br /> 2. State Surcharge, 4 Tanks x $56 2�JAR 2 4 1986 <br /> Total Number of Tanks 4 Total Fee Due Er$WMENTAL HEALTH <br /> E ERMIT/SERVICES <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> i <br /> 2-86 <br />