Laserfiche WebLink
FEE WORKSHEET <br /> DBA MU1,11K SUPELY COMPANY <br /> ADDRESS 415 So. Sacramento St. , Lodi, Ca. 95240 <br /> 1. Operating .Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. <br /> b. Additional Tanks (# 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 # 1 Tanks) 56_._(lQ. <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 /> (# 1 Temporary closures x $80) bo 00: <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 /> Total Number of Tanks 1 Total Fee Due X136.00 <br /> Make 'all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check and the completed application. <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> la. Existing Facility & 1st Tank $150 <br /> b. 3 Additional Tanks x $50 <br /> 2. State Surcharge,. 4 Tanks x $56 <br /> Total Number of Tanks 4 Total Fee Due $ q { �0 <br /> ENVIROMENTAL HEALTH <br /> FERMIT/SERVICES <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 12/85 <br />