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FEE WORKSN;ET PER EACH FACILITY <br /> FACILITY <br /> DBA - ADDRESS <br /> J <br /> MAILING ADDRESS / <br /> 1. Operating Permit Application/Annual Inspection Fee 1997 <br /> a. First Tank at Facility @ $150. <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 /> ($56 x Total M Tanks) <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 /3 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 v <br /> (N Permanent Closures x $90) 7 <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 /> PA Y&jZjjr <br /> RE 1/ED <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks FE B 16 1988 <br /> Ia.regular, I Existing Facildity'811stoTank 1 waste oil ) $150 ENVEOM�/SERVIHEALTH <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 /> 2-116 <br /> UGC � f ' <br />