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FEE :%1ORKSH.LET PER EACH FACILITY �* A/Nti1c�_� /�c" r o jc <br /> FACILITY <br /> 06A AlgI <br /> Cjl CC,x19 r9a,c /c-A/ ADDRESS c! Vr.rc IV or. <br /> MAILINC ADDRESS '� c or/ rA . " c <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ S150. <br /> b. Additional Tanks (i Additional Tanks x $50) <br /> 2. State Surcharge (per tank) (QUe with Permit Application. <br /> on renewal or amendment of operation permit and- temporary closure) <br /> 456 x Total 0 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 yep S. <br /> (f 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 /> (# .,L Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> Total Number of Tanks cvc- <br /> Total Fee Due ��• <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check. 9 <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 S56 224 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> EH 23 032 2/86 <br />