Laserfiche WebLink
..d <br />FEE WORKSHEET <br />DBA Horton's Gas Mart <br />ADDRESS 13475 Sacktone Road, Lodi, CA 95240 <br />1.. Operating Permit Application/Annual Inspection Fee <br />a. Existing Facility and 1st Tank @ $150. <br />b. Additional Tanks (# z Additional Tanks x $50) <br />.2. State Surcharge (per tank) (Due with Permit Application, <br />on renewal or amendment of operation permit) <br />($56 x Total #_3 __ 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 />0 = 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 />150.00 <br />100.00 <br />$168.00 <br />Total Number of Tanks 3 Total Fee Due $45:8.00 <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, 1 supreme, <br />1a.. Existing Facility & 1st Tank <br />b. 3 Additional Tanks x $50 <br />2. State Surcharge, 4 Tanks x $56 <br />Total Number of Tanks 4 <br />1 waste oil) <br />$150 <br />ppray <br />4 <br />F 10 198b <br />Total Fee Due F84 <br />ENVIROMENTAL HEALTH <br />F ERMIT/SERVICES <br />*Both closures will be conditioned. Contact a Health District Representative <br />12/85 <br />