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AL <br /> FEE.W RKSHEET PER, EACH FACK I', , . <br /> 4�z <br /> DA - � . <br /> :MAILING ,ADDRESS <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a: First Tank at FacilitY $15i1� <br /> b. Additi-onAI Tanks,, Addli,tional Tanks x $56) <br /> . State Surcharge per tank} (Due with Permit Application, <br /> on renewal or amendment of operation pe it and temporary closure) <br /> 4§6 x ,Total Tanks) <br /> 3. *Temporary Closure (.per tank) Underground Storage 'lank in which, <br /> storage has cease but where the ner/operator, proposes to <br /> re-use tthk �within 2 Years. <br /> # Temporary closures=x $80) (See abdve #3 to calculate surcharge) <br /> 4., *Permanent CIosUre p'e' r tank) Underground Storage Tank in which <br /> storage has teas d and where the' r/operator has no intent <br /> of re-using tank, <br /> (# Permanent Closures x $90) <br /> 5. Plan Check Fee $30'.' <br /> Total Number of Tahks r Total Fee Due , <br /> Make all fees payable to San Joa uin Local„Health District. Enclosethis worksheet <br /> with your ,check. ' <br /> 17 1 <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular,''l unleaded, l supreme,' 1 waste ail ) <br /> la. Existing Fati,l ity( t& Tank�` $I50 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, ,4 Tanks x $ 6 224 <br /> Total Number of Tanks 4 Total Fee flue $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-86 <br /> Ah <br />