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FEE WORKSHEET PER EACH FACILITY <br /> DBA City of Lodi FACILITY Public Safe. .Building <br /> ADDRESS 230 W. Flm rapt Lodi , CA 95240 <br /> MAILING ADDRESS City Hall , Call Box 3006, Lodi , CA 95241-1910 <br /> i <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. <br /> b. Additional Tanks (# Additional Tanks x $50) <br /> 3. State Surcharge (per tank) (Due with Permit Application,' <br /> on renewal or amendment of operation permit and temporary closure) <br /> ($55x Total # Tanks) <br /> 4. *Temporary Closure (per tank) Undergrourd 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 /> 6. *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 /> (# 1 Permanent Closures x $90) 0.00 <br /> Total Number of Tanks 1 Total Fee Due $ 90.00 <br /> Make all fees payable to San Joaquin. Local 'Health District. Enclose this worksheet <br /> with your check. <br /> EXAMFLE - 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 /> P <br /> *Both closures will be conditioned. Contact a Health District Representative.cjL, <br /> 2-85 `4� Qk' <br />