Laserfiche WebLink
FEE WORKSHEET PER EACH FACILITY <br /> FACILITY <br /> DBA Yql .C. ADDRESS 2.300'J (%•fLZ-E)I'� Lob j <br /> MAILING ADDRESS <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ 8150. <br /> b. Additional Tanks (M Additional Tanks x 850) <br /> 2. State Surcharge (per tank) (Due with Permit Application* <br /> on renewal or amendment of operation permit and temporary closure) <br /> (856 x Total M 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 880) (See above I3 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 /> (N—a Permanent Closures x 890) 2 <br /> S. Plan Check Fee 830. <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 /> ( 1 regular, 1 unleaded, 1 supreme, I waste oil ) <br /> la. Existing Facility & 1st Tank $150 <br /> b. 3 Additional Tanks x 850 150 <br /> 2. State Surcharge, 4 Tanks x $56 224 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-86 <br /> UCS � l <br />