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�� .», ��• r L4% L.n1.11 1lNo11.11 <br /> " FACIt1T1r <br /> D@A [J AOORESS 2' <br /> hAiLING A00RESS <br /> L Operating Permit location An oal : ns <br /> APP ! n �' pectivn Fee : <br /> t Tank k J, <br /> a. Firs <br /> at°�facil'�ty � tt50.. <br /> h. Additional Tanks (r Additional Tanks x $54) �f ' <br /> 2- 'State Surcharge. tper tank) (Due with Permit-'.'A oliation, <br /> on renewal or amendment of operation permit` and <br /> temporary Closure) <br /> (S56 x Total N _ Tanks} <br /> 3• *TemporaryClosur <br /> e (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 6losures x $W) .(See above #3,to calculate surcharge) . <br /> *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 /> (t - Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> Total Humber of Tanks 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 & 1st Tank 5150 <br /> b. 3 Additional Tanks x $SO 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 /> 2-8.6 <br />