Laserfiche WebLink
FEE WORKSHCET PER EACH FACILITY <br /> FACILITY <br /> DBA � _ °�_ �C � ADDRESS <br /> MAILING ADDRESS <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. S <br /> b. Additional Tanks (i 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 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 /> (/._ Temporary closures x $80) (See above 13 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 190) <br /> 5. Plan Check Fee 130. l � \i 5 c� ✓1 3 <br /> n l / <br /> 4--�)p �. <br /> Total Number of Tanks Total Fee Due �3 <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check . <br /> v/ <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> ( 1 regular, I unleaded, I supreme, 1 waste oil ) 1,2 <br /> Ia. Existing Facility b lst Tank 1150 zy►� / <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 b <br /> 'Doth closures will be conditioned. Contact a health District Representative. <br /> 2-86 <br />