Laserfiche WebLink
I <br /> A f t rz4 <br /> Q if <br /> MMPI/�C� Q .� �� `� �� . <br /> ClL-cK 1,isf '• ,, Sfe Ti. ;, �� '� • • j <br /> Ta„k# <br /> /9 7(v G7 <br /> /q--� Z p� . <br /> off) <br /> Jnn/��lJ <br /> a l� <br /> 9 ---- - - 09 <br /> 7anKrl <br /> /9 <br /> f(( wORKSHLET PER EACH FACILITY FACILITY <br /> ADDRESS L <br /> DBA / <br /> MAILING ADDRESS <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facilitv @ 5150. <br /> b. Additional Tanks (1 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 /> (156 x Total 1 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 /> (1,. Temporary closures x $80) (See above f3 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 /> 5. Plan Check Fee $30. <br /> h <br /> Total Number of Tanks Total Fee Due <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 /> A;?�� <br /> ( 1 regular, I unleaded, 1 supreme. 1 waste oil ) <br /> Ia. Existing Facility 6 1st Tank $150 <br /> b. 3 Additional Tanks x 150 ISO <br /> 2. State Surcharge, 4 Tanks x S56 224 <br /> Total Number of Tanks 4 Total Fee Due 1524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2 -r1G <br />