Laserfiche WebLink
FEE WORKSHEET <br /> DBA <br /> ADDRESS � c-�� CA c 2U S <br /> 1. Operating Permit Application/Annual Inspection Fee 0 <br /> a. Existing Facility and 1st Tank @ $150. <br /> b. Additional Tanks (# 2— Additional Tanks x $50) �� <br /> 2. State Surcharge (per tank) <br /> Due with Permit Application, <br /> on renewal or amendment of operation permit) i <br /> ($56 x Total # _ 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) <br /> 4. *Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the owner/operator has no intent r <br /> of re-using tank within next 2 years. <br /> (# Permanent Closures x $90) <br /> Total Number of Tanks Total Fee Duel <br /> Make all fees payable to San Joaquin Local Health District. 'Enclose this worksheet <br /> with your check and the completed application. <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> la. 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 Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> JAN 2 1 '19 a, <br /> ENVIROYWE_iv T AL HEALTH <br /> 12/85 <br /> F ERN11T/SERVICES <br />