Laserfiche WebLink
FEE WORKSHEET <br /> DBA 7-Eleven Food Store #2243-20680 <br /> ADDRESS 9110 Thornton Road, Stockton, CA 95209 <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. 150 <br /> b. Additional Tanks (# 2 Additional Tanks x $50) <br /> 100 <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 /> 168 <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 /> (#— 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 /> Total Number of Tanks 3 Total Fee Due 418 <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 /> Ia. Existing Facility & 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 Pv <br /> �j Zi 1. <br /> :> <br /> JAN <br /> *Both closures will be conditioned. Contact a Health District RepresentativkiNVIRO ,t;JtAL <br /> HEALTH <br /> F ER 1.!11/SEkV10Eg <br /> 12/85 • <br /> • <br />