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F� FLET PEP EACH FACILITY <br /> A 21 <br /> DBA 1SC WINES OF CALIFORNIA, I�!' ACILITY r <br /> DDRESS 01 HIGHWA40120, ESCALON, CA 105320 <br /> MAILING ADDRESS 21801 HIGHWAY 120, ESCALON, CA 95320 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. $150 <br /> b. Additional Tanks (# 2 Additional Tanks x $50) $140 <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 # 3 Tanks) $168 <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 _ <br /> (# Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks 3 Total Fee Due $418 <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, i unleaded, 1 supreme, 1 waste oil ) <br /> Ia. 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 $52.4 <br /> *Both closures will be conditioned. Contact a Health District Representative-.- <br /> 2-86 <br /> r <br />