Laserfiche WebLink
OBA .r d --rA ^,j v annnree 1-3(,Od E <br /> MAILING ADDRESS I b Fi w <br /> n <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. Sp <br /> b. Additional Tanks (0 1 Additional Tanks x $50) SSD <br /> 2. State Surcharge (per tank) (Due with Permit Application. <br /> on renewal or amendment of-operation permit and temporary closure) <br /> (S56 x Total B Tanks) 1121 <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 /3 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. PAYMENT <br /> (f a, Permanent Closures x $90) RECEIVED 176 <br /> S. Plan Check Fee $30. JUL 211968 <br /> At <br /> DWIRONMENTAL HEALTH <br /> PERMITJSERVICES y ,r <br /> q a2 <br /> Total Number of Tanks_ Total Fee Due �i,A bQ <br /> 1/ <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, I unleaded, 1 supreme, I waste oil ) <br /> Ia. .Existing Facility 6 Ist Tank S150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2• State Surcharge, 4 Tanks x S56 224 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> Both,-c, loiuresil :be conditio ed ;Contact a= Health`'District Representative. h <br /> P <br /> 2-11G dR l <br />