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FEE WORKSHFIT PER EACH FACILITY <br /> Fyu n t y <br /> Io�4a �'Y3Erivr'wF �At i <br /> OBA DRESS 2.;5<00 9AG�e7777, <br /> MAILING ADDRESS Pn (SOX /3'ezgir 5 71 eop <br /> 1. Operating Permit Application/Annual )nspection"Fee <br /> a. First Tank at Facility @ $150, l� C$MENr ` y <br /> b.' Additional Tanks (I Additional Tanks x $50) SAN " Fp <' <br /> :fi" <br /> 2 ,State Surcharge (per tank) (Duewith Permit Applicata 9'1gBg" . <br /> on renewal or,amendment of operation permit and tempor_ N <br /> ($56 x Total "I Tanks) '"��V%�yljt <br /> 3• *Temporary Closure (per tank), Underground Storage Tank in which <br /> storage has ceased but wheretheowner/operator,proposes to <br /> re-use tank within 2 years. <br /> (I_ 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, <br /> oj� Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks U Total Fee Due 7� <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 U � � <br /> ( 1 regular, 1 unleaded, l supreme, 1 waste oil ) <br /> la. Existing Facility b 1st Tank $150 <br /> b. 3 Additional Tanks x $50 150 <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 /> 2-80 <br />