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ir <br /> FEE WORKSHEET PER EACH FACILITY <br /> FACILITY <br /> DBA Kmart # 7486 ADDRESS 520 S. Cherokee Lane Lodi,CA 95240 <br /> MAILING ADDRESS Kmart Corporation 3100 W. Big Beaver Road Troy, MI 48084 0 <br /> 1. New Facility or Addition "t <br /> , <br /> a. First Tank $180. $gge.4w <br /> - b. Additional Tanks (# Additional Tanks x $50) <br /> 2. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. /J-0. 00 <br /> b. Additional Tanks (# Additional Tanks x $50) <br /> 3. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and tEmporary closure) <br /> ($56 x Total # Tanks) 56.00 <br /> 4. *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 /> 5. *Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has Ceased and Where the ownerjoperatOr has no int,,-,t <br /> of re-using tank within next 2 years. <br /> (#�_ Permanent Closures x $90) <br /> Total Number of Tanks One ( 1) Total Fee Due $ <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet /l ,�v <br /> with y-our 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 /> *Both closures will be conditioned. Contact a Health District Representative <br /> 2-86 <br />