Laserfiche WebLink
FEE WORKSHCET PER.EACH FACILITY 0 J <br /> DBA !• A1�0 �-` ADDRESS <br /> Y <br /> MAILING ADDRESS <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks (f Additional Tanks x $50) <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 N Tanks) to <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 /> (f Temporary closures x $80) (See above 13 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 . PAYMENT <br /> F2ECEIVED <br /> (f_ Permanent Closures x $90) <br /> 5. Plan Check Fee $30. MAY PO 1911 <br /> tNVIRONMENTAL WEALTH <br /> ' PERMITISERv'(_6 <br /> Total Number of Tanks Total Fee Due <br /> Make all fees payable to San Joaquin Local Health District. Enc ise thikrksh�eet <br /> with your check. IP.2L1�/5 � <br /> -t w 1W 5 � K <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> ( 1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> la. Existing Facility b 1st Tank $150 <br /> b. 3 Additional Tanks x $50 150 <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 /> 2 -P6 <br />