Laserfiche WebLink
0 W <br /> FEE WORKSHEET PER EACH FACILITY <br /> DBA City of Lodi FACILITYADDRESS Well #17, Vine & Mills <br /> MAILING ADDRESS City Hall , Call Box 3006, Lodi , CA 95241 -1910 <br /> 1. New Facility or Addition <br /> a. First Tank $180. <br /> b. Additional Tanks (# Additional Tanks x $50) <br /> 2. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. <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) <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 owner/operator has ntEly-� <br /> of re-using tank within next 2 years. RECEIVED <br /> (# 1 Permanent Closures x $90) $ 90 <br /> IVOY l•.8 1��� <br /> Total Number of Tanks 1 I NVIRQQN�MENTAL HCALTH <br /> PE id)SPA*.ffije $ 90 <br /> Make all fees payable to San Joaquin Local Health District Enclose this worksheet <br /> uh `:Our 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 $150 <br /> b. 3 Additional Tanks x $50 150 ` <br /> 2. State Surcharge, 4 Tanks x $56 224 <br /> tll t„/ <br /> Total Numberfl <br /> of Tanks 4 Total Fee Due $524 <br /> NOV 1 190 <br /> ENVIROMENTAL HEALTH <br /> *Both closures will be conditioned. Contact a Health District Re resentat ERIAIT/SERVICES <br />