Laserfiche WebLink
� r <br /> FEE WORKSHEET <br /> DBA Roek Brothers <br /> ADDRESS P.O. Box 8328 Stockton, Ca. 95208 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $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) <br /> ,. A <br /> ($56 x Total # Tanks) <br /> 3 "*Temporary Closure (-per-tank} Underaraund Storage Tank in which -. <br /> storage has ceased but where the owner/operator proposes to <br /> re-use tank within 2 years. <br /> (# 2 Temporary closures x $80) 160. 00 <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 within next 2 years. <br /> (#_ Permanent Closures x $90) <br /> n7 . Total Number of Tanks 2 Total Fee Due 160. 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 /> la. 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 f Mill <br /> P- i.,1 \%✓ t if <br /> k JAN 2 2 <br /> *Both closures will be conditioned Contact a Health District RepresentatiVT,VIROMENTAL HEALTH <br /> 12/85 FERMI USERVICES <br />