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FEE WORKSHEET PER EACH FACOO <br /> FACILITY 2575 CLUB BOULEVARD <br /> 68A SHELL OIL COMPANY ADDRESS STOCKTON, CA 95204 <br /> MAILING ADDRESS P.O. BOX 13678, SACRAMENTO, CA 95853 <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a, first Tank at Facility @ $150. N/A <br /> b. Additional Tanks Additional Tanks x $50) N/A <br /> 2. State Surcharqe (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> N/A <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 /> 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 inte <br /> of re-using tank , 1 T <br /> 0 Permanent Closures x $90) J= t3 N/A <br /> 5. Plan Check Fee $30. 4NVIR N $30.00 <br /> PE ENTAL HEALTHIT/SERVICES <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 /> 0 regular. 1 unleaded, I supreme, 1 waste oil ) <br /> Ia. Existing Facility b 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 $52.4 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-116 <br />