Laserfiche WebLink
FEE WORKSHCET PER EACH FACILITY FACILIT� '�'�- ^ �` �'(F-'✓ <br /> DBA ( �j C, ADDRESS Y j f S� <br /> MAILING ADDRESS Sf/� <br /> 1. Operating Permit Application/Annual Inspection Fee - <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks (N 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 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 /> (M_ Temporary closures x $80) (See above M3 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 /> go <br /> (#__L Permanent Closures x $90) <br /> 5. Plan Check Fee $30. P 7 <br /> Total Number of Tanks 1 Total Fee Due <br /> 'k (. rl,° # /I o& b <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 & 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 $574 <br /> *doth closures will be conditioned. Contact a Health District Representative. <br /> 2-86 <br /> Uc--7 '-� 1 <br />