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' El - <br /> Fll t:I TY <br /> NAI 'ADWSS <br /> i*ening Permit Applfcation rnual Inspection Fee <br /> a. First Tank at Facility @ $151. .` <br /> b. Additional Tanks ( Aoditional `Tanks x $SQ) <br /> State Surcharge (per tank) (Duo with Permft Applicstton, <br /> a# qn renewal or amendment of operation permit andclosure) <br /> . 7($56x Total # Tanks) <br /> 3. *Temporary Closure (per tank) Underground Storage Tank in which <br /> ii 4w a has ceased but where the owner/operator proposes. to <br /> rt-use- tank within 2 years. <br /> (��,., Temporary closures x i8) (See above 13 1 t.qcalculate SWT.hanie). <br /> 4. "int Closure (per tank) Underground Storage Tarek in which <br /> storage has ceased and where the owner/operators has no intent <br /> of re-using tank'. 40o Permanent Closures x $90) <br /> S. Pian Check Fee $30, <br /> 1 <br /> Total Number of Tanks 'Total Fee Due <br /> Make all fees payable to San 1oa utn Local Health District. Enclose this worksheet <br /> with your check. /D <br /> l <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks �. <br /> 0 regular, i unleaded, l supreme. 1 waste oil} <br /> la. Existing Facility b 1st Tank $150 <br /> / <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 conditidnesl.. Contact a Health District Representative. <br /> 2-116 <br /> U � <br />