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FEE WORKSHEET PER EACH FACiLI- <br /> CITY OF LODI FACILITY M.S.C. <br /> Cid ADDRESS 1331 S. Hd , Lane, Lodi , CA 95242 _ <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 Ist Tank @ $150. <br /> b. Additional Tanks (# 1 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 /> (5.56 x Total P 1 Tanks) <br /> 4:. "Temporn"v C-Eosure (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 I'V3 to calculate surcharge) <br /> 6. *Permanen- Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where' the owner/operator has no intent <br /> Gf re-using tank within next 2 yEars. <br /> (r 1 Per-anen+t Closures x $90) 5"0o CIAAV 't . �� +� ��•.�< 0 <br /> Total tau, ,bet o Tanks <br /> 1 Total Fee Due <br /> Make all fees payable to San ,loacuin Local -Health District. Enclose this worksheet <br /> with your check. <br /> EXPY,PLE - Annual Fee for Facility with 4 Tanks <br /> (i regular, I unleaded, I supreme, I waste oil ) <br /> Ia. Existing Facility & '_st Tank $150 <br /> b. 3 Additional Tanks x $50 2.50 <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- <br />