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LL HUK&�AILLI PLR EACH FACI <br /> FAC <br /> DBA �j�ck (�U�CIL ADDRESSY `115 Lam, <br /> MAILING ADDRESS �S <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facilitv @ $150. / <br /> b. Additional Tanks (p Additional Tanks x $50) <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 N 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 years. <br /> (A'_ Temporary closures x $80) (See above M3 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 Total Fee Due 3�� <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 y� <br /> ( 1 regular, 1 unleaded , ] supreme, 1 waste oil ) <br /> m0 y <br /> Ia. Existing Facility & 1st Tank $150 o � v <br /> b. 3 Additional Tanks x $50 150 <br /> u <br /> 2. State Surcharge, 4 Tanks x $56 P24 <r <br /> Go <br /> 00 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-H6 <br /> 14GC 1 <br />