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FEE WORKSHLLT PER EACH FACILITY <br /> DBA 11PJlA- 2 FACILITADDRESSY <br /> MAILING ADDRESS OGS� C �,q/2,c �,� �,ei qJ LLl_6 <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks (# 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 # Tanks) <br /> 3- *Temporary Closure (per tank) Underground Storage Tank in which <br /> Stora a has ceased but where the owner/operator ro oses to <br /> 9proposes <br /> re-use tank within 2 years. <br /> . I <br /> (# 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 /> (# Permanent Closures x $90) <br /> Q� a <br /> 5. Plan Check Fee $30. <br /> 101, <br /> O <br /> Total Number of Tanks Total Fee Due �n <br /> i <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check. <br /> I <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> 0 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> 1a. Existing Facility & 1st Tank $150 <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 /> 2-86 <br />