Laserfiche WebLink
FEE WORKSHEET PER EACH FACIL. <br /> FACILITY <br /> DBA BANTA CARBONA IRRIGATION DT! '7ICT ADDRESS 8880 W. LIKE R AD TRACY, CALIF0I'11IA 953.78 <br /> MAILING ADDRESS P.O.BOX 299 TRACY CALIFORNIA 95378 <br /> 1 . New Facility or Addition <br /> a. First Tank $180. <br /> M , b. Additional Tanks (# Additional Tanks x $50) <br /> 2. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $1500 150.00 <br /> b. Additional Tanks (# � Additional Tanks x $50) `;0.00 <br /> 3. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and fpmonrarV closure) 7-- CFO <br /> ($56 x Total # Tanks) <br /> 4. *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 /> 5. *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 within next 2 years. <br /> (# Permanent Closures x $90) <br /> 312 .©0 <br /> Total Number of Tanks Total Fee Due , <br /> zsu . o <br /> Che <br /> 2-310:5, <br /> re.«,v�Cd a a <br /> oa u <br /> Make all fees payable to San Jin Local Health District. Enclose this wor sheet <br /> with your check. �~ <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks '- <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) ulu <br /> Ia. Existing y <br /> istin Facility & 1st Tank. $150 <br /> b. 3 Additional Tanks x $50 150 MAR 2 5 <br /> 2. State Surcharge, 4 Tanks x $56 22 fNVIROMENTAL <br /> HE <br /> — FERMIT/SERV C,ESLTH <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 />