Laserfiche WebLink
rLt WUROKLI PER EACH FACILI# <br /> DBA j FACILITY <br /> //�� ADDRESS f <br /> MAILING ADDRESS `: O E7 OOH , Z <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. t� <br /> b. Additional Tanks (Nc,6� Additional Tanks x $50) <br /> s8 <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 M/ 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 /> (N 15- Temporary closures x $80) (See above 83 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 /> (N_ Permanent Closures x $90) <br /> 5. Plan Check Fee $30. @_ <br /> Total Number of Tanks Total Fee Due <br /> Make all fees payable to San Joaquin Local Health District Enclose this worksheet <br /> with your check, <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> ( 1 regular, 1 unleaded, 1 supreme, 1 waste oil ) <br /> Ia. Existing Facility 6 1st Tank $150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 P24 <br /> Total Number of Tanks 4 Total Fee Due $524 <br /> *Both closures will be conditioned. Contact a Health District Representative. <br /> 2-86 <br /> U�T .71 <br />