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FEE WORxSHLET PER EACH FAC 6* <br /> DBA SMELL OIL COMPANY FACILITY 6131 PACIFIC AVENUE & PORTER AVENUE <br /> ADDRESS STOCKTON, CA 95207 <br /> MAILING ADDRESS p .0. BOX 13678 , SACRAMENTO, CA 95853 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. N/A <br /> b. Additional Tanks (N Additional Tanks x $50) N/A <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 M Tanks) N/A <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 /> 0 Temporary closures x $80) (See above N3 to calculate surcharge) N/A <br /> 4. *Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the owner/operator has no intergA Y M E N T , <br /> of re-using tank . RECEIVED <br /> (# Permanent Closures x $90) j L N/A <br /> �s8� <br /> 5. Plan Check Fee $30. NEta DISPENSERS ENVIRO $30.00 <br /> PEWji�NRV�ES LTy <br /> Total Number of Tanks EXISTING Total Fee Due $30.00 <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 <br /> ( 1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> Ia. Existing Facility 8 1st Tank S15U <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 conditioned. Contact a Health District Representative_ <br /> 2-1;G <br /> UST � 1 <br />