Laserfiche WebLink
FIE -WRK•S11LET PER EACH FACILITY <br /> ADDRE l$Y <br /> NAILING ADDRESS BGD <br /> L Operating.1ermit Application/Annual Inspection Fee <br /> a ' first-Jai nk et• Facility @$150. <br /> b >Additional Tanks `(/' Additional Tanks x $50) 14" <br /> 2. State Surcharge (per tank) (Due with Permit Application. <br /> on renewal-or amendment of operation permit and. temporary closure) <br /> (156 x Total / Tanks) .45 <br /> 3• *Temporary Closure (per tank) Underground Storage Tank in whichrr <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 03 to calculate surcharge) <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, <br /> (f Permanent Closures x $90) <br /> 5. Plan Check Fee 130. 3®` <br /> --- � <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 /> PAYMENT <br /> RECEIVED <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks JUL Ili 19877(,i-- <br /> (I <br /> 9877(ti(1 regular, i unleaded. I supreme, i waste oil ) ENVIRONMENTAL HEALTH <br /> Ia. Existing Facility 6 1st Tank $150 PEPWISERVICES <br /> b. 3 Additional Tanks x 150 150 <br /> 2. State Surcharge, 4 Tanks x S56 224 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br />