Laserfiche WebLink
FEE WORKSHEET PER EACHj#CIW 4 * 1 <br /> FACILITY <br /> DBA (�GtC lJiCtit'(7� � ) ADDRESS J � <br /> MAILING ADDRESS a � " 9�1�� 2, <br /> ,16 <br /> I. Operating Permit Application/Annual Inspection Fee ��� <br /> a. First Tank at Facility @ $150. �—o /SO <br /> b. Additional Tanks (p Additional Tanks x $50) S-y s-b <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 7L 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 /> (M_ Temporary closures x $80) (See above N3 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 /> ( # Permanent Closures x $90) <br /> 5. Plan Check Fee $30. r76 4 <br /> Total Number of Tanks Total Fee Due y_D <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check . <br /> FXAMPLE - Annual Fee for Facility with 4 Tanks <br /> ( 1 regular, I unleaded, 1 supreme, I waste oil ) <br /> Ia . Existing Facility d 1st Tank S1')0 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge,-4 Tanks x $56 2219 <br /> Total Number of Tanks 4 Total Fee Due, SS24 <br /> "doth closures will be conditioned. Contact a Health District ReLresentative. <br /> 2-,1G <br /> UG- of <br />