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.1 Operating Permit Application/Annual Inspection Fee <br />a. First Tank at Facility �., $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 andtemporary closure) <br />($56 x Total N 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 />(iF Temporari closures x SIBO); (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'. <br />0* Permanent Closures x $90) <br />5. Plan Check Fee $30. <br />3 Co (D <br />Total Number of Tanks Total Fee Duel <br />Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br />with your check. PAYMENT >~' <br />RECEIVED <br />EXAMPLE - Annual Fee for Facility with 4 Tanks <br />(1 regular, 1 unleaded, 1 supreme, <br />IS. 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 />JUL 7 1988 <br />1 waste oil�NVIRONMENTAL HEALTH <br />PERMITJSERVICES <br />$150 <br />150 <br />224 <br />Total Fee Due $524 <br />*Both c-fsures will be conditioned. Contact a Health District Representative. <br />2-8,6 <br />