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FEL WORKSHEET PER EACH FACILITY <br /> p� <X-- FACILITY <br /> OBA �.�,� ..rv-.ar.s.e,R� ��i�s,srrr��lpORESSe�`1iSO0 KA��/1) Qn -t'PAC_ r,D <br /> --a <br /> MAILING ADDRESS 10O eOX 13c6gI 114 <br /> _�1 , <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank a CFacility @ $150. <br /> b. Additional Tanks (/ 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 / 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 /> (f_ Temporary closures x $80) (See above f3 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 /> (l-2t Permanent Closures x $90) 6�t7 <br /> S. Plan Check Fee $30. <br /> Total Number of Tanks U 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 supreme, 1 waste oil ) <br /> Ia. Existing Facility b 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 /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-!t6 <br />