Laserfiche WebLink
FE: WORKSHEET -' <br /> DBA <br /> 'ADDRESS 25411 NAVY Dk\V6 STb cx• -Vo.N LALI=OgNtA 95203 <br /> Row�AN0 - <br /> " 3015 BRA DSNAv <br /> roe <br /> 1 Operating Permit Applicati n/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150, #isa Via:; <br /> b. Additional Tanks (n Additional Tanks x $50) <br /> 2. State Surcharge (per tank) (Due with Permit Application, " r•>'; <br /> on renewal or amendment of operation Permit) <br /> .v.i <br /> ($56 x Total Tanks) �S63o� <br /> *Temporary Closure (per tank) Underground Storage Tank in-which __ T <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 <br /> of re-using tank within next 2 years. <br /> (=_ 'Permanent Closures x $90) <br /> Total Number of Tanks <br /> Total Fee Due 3i�,oa-�• - <br /> Make all fees � (i <br /> 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, 1 waste oil ) <br /> Ia. Existing Facility & 1st Tank 5150 <br /> b. 3 Additional Tanks x $50 c0 <br /> 2. State Surcharge, 4 Tanks x S55 224 <br /> Total Number of Tanks 4 Total Fee Due 5524 <br /> *'oth closures will be conditioned. Contact a Health District Peoresentative. <br /> 12/85 <br />