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_ �" n�lllll V <br /> utln ADDRESS <br /> MAILING ADDRESS <br /> 1. Operating Permit Application/Annual Ill.pection Fee <br /> a. First Tank at Facility P $150. <br /> b. Additional Tanks (/ Additional Tanks x 450) <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 K Tanks) <br /> 3. 'Temporary Closure <br /> (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 /> (I_ Temporary closures x $80) (See above M3 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 . I ' <br /> (K__L Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks Total Fee Due <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 supn�me , 1 waste oil ) <br /> Ia. Existing Facility R is, lank $150 ROER/m,l,_;,;,` <br /> 11. 3 Additional Tanks x SS(i 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 /> 2-86 <br />