Laserfiche WebLink
` � 1l14Fw1 l l . <br /> DBA PQ �• s ADDRESS Z a ► Nags <br /> ' F <br /> MAILING ADDRESS 4�0 . �S© �vti1-t: n C� <br /> ' cxl �Lf So:� <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ 3150. <br /> b. Additional Tanks (# -?- Additional Tanks x $50) d <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 # Z Tanks) �l z- <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) (See above #3 to calculate surcharge) <br /> i• ''Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the gwner/operator has no intent <br /> of re-using tank. ` <br /> (#--L_ Permanent Closures x $90) <br /> i. Plan Check Fee 330. E <br /> Total Humber of Tanks -3 Total Fee Duel <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 0 + <br /> ( 1 regular. 1 unleaded, 1 supreme. 1 waste oil ) <br /> Ia. Existing Facility & 1st Tank $150 <br /> b_ 3 Additional Tanks x $50 ISO <br /> 2. State Surcharge, 4 Tanks x SS6 224 <br /> Total Humber of Tanks 4 Total Fee-Due $524 <br />*Both closures will be conditioned. Contact a Health 'District Representative. <br /> ocT r ' <br />