Laserfiche WebLink
rtt WUROHLU PER EACH FACIL- <br /> FACILITY <br /> DBA o,. � +" '`�7 1. �iwt ADDRESS r f � v <br /> MAILING ADDRESS <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. !S <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 and temporary closure) <br /> ($56 x Total # 1- - Tanks) Sb <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 /> (M 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 . <br /> (# Permanent Closures x $90) <br /> 5. Plan Check Fee $30. 0 <br /> Total Number of Tanks 4 Total Fee Due ?3(�' <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check. �? <br /> V Y3 I, ah e <br /> e h�7i't:�d �c5 CK- <br /> EXAMPLE - Annual Fee for Facility�%44- 4'Tanks <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> Ia. 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 flue $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-86 <br />