Laserfiche WebLink
FEE WORKSHEET <br /> DBA <br /> ADDRESS - 9,ZI. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and lst Tank @ $150. A <br /> b. Additional Tanks (# r Additional Tanks x $50) x,. <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <br /> ($56 x Total # Tanks) dG <br /> 3. *Temporary Closure (per tank) Underground Stora <br /> storage has ceased but where the owner/operato <br /> re-use tank within 2 years. <br /> (# Temporary closures x $80) <br /> 4. *Permanent Closure (per tank) Underground Stor <br /> storage has ceased and where the owner/operas <br /> of re-using tank within next 2 years. <br /> (# Permanent Closures x $90) <br /> Total Number of Tanks <br /> 4Ft I <br /> Make all fees payable to San Joaquin Local Health District. Enclose t <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 & Ist Tank $150 <br /> b. 3 Additional Tanks x $50 roavEg <br /> 2. State Surcharge, 4 Tanks x $56 <br /> E�5._ 196b <br /> Total Number of Tanks 4 Total Fee Due $15e <br /> 5 <br /> ,pWIROMENTAL HEALTH <br /> v pERMIT/SERVICCS <br /> *Both closures will be conditioned. Contact a Health District_ Representative. <br /> 12/85 f <br /> 40 4 <br />