Laserfiche WebLink
FEE WORKSHEET PER EACH FACILITY <br /> DBA <br /> FACILITY <br /> ` •�' ADDRESS 20 cc z V, <br /> MAILING /ADDRESS <br /> 1. ' ew Facility or Addition "- <br /> a. Firs n 1180. <br /> b. na Tanks (I <br /> 2. Operating Permit Application%Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. <br /> b. Additional Tanks ( Additional Tanks x $50) ��' <br /> 3. State Surcharge g (per tank) (Due with Permit Application, �on renewal or amendment of operation permit and temporary closure) <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 /> r <br /> storage has ceased and where the owner/operator has no intent <br /> . of re-using tank within next 2 years. <br /> (#�ermanent Closures x $90) <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, I supreme, 1 waste oil ) <br /> Ia. Existing Facility & 1st Tank $150 r _ <br /> b. 3 Additional Tanks x $50 150 - F <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 /> 7 04 1Ir-T 91 <br />