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�OFKSHEET PER EACH FACILSw <br /> FACILITY <br /> ;AN JOAQUIN COUNTY MOSQUITO DISTRICT ADDRESS 200 N. Beckman Road, Lodi, CA <br /> NG ADDRESS 5503 SOUTH AIRPORT WAY, STOCKM N, CA. 95206 <br /> New Facility or Addition <br /> a. First Tank $180. <br /> b. Additional Tanks (# Additional Tanks x $50) <br /> Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. 150.0_ <br /> b. Additional Tanks (#�_ Additional Tanks x $50) loo.-: <br /> State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> ($56 x Total # 3 Tanks) 169.00 <br /> 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 /> ?ermanent 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 /> i# Permanent Closures x $90) _ <br /> Total Number of Tanks 3 Total Fee Due n4118..- : <br /> all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> 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 $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 /> h closures will be conditioned. Contact a Health District Representative. <br />