Laserfiche WebLink
EE WORKSHCEI PER EACH FACILITY FACILITY <br /> ADDRESS <br /> DBA <br /> MAILING ADDRESS <br /> 1. operating Permit Application/Annual Inspection Fee _ <br /> a. <br /> First Tank at facility @ Additional Tanks x $50) <br /> b, Additional Tanks (N�—fie with Permit APPlication. <br /> 2. State Surcharge (per tank) ( closure) <br /> on renewal or amendment of operation permit and temporary <br /> ($56 x Total N Tanks) Tank in which <br /> (per tank) Underground Storage <br /> 3. *Temporary Closure (p owner/operator proposes to <br /> storage has ceased but where the owner/op <br /> re-use tank within 2 years. <br /> above 13(I. Temporary closures x $BO) (SStorageoTankcinasurcharge) <br /> 4. *permanent Closure (per tank) Underground <br /> storage has ceased and where the owner/operator has no intent <br /> of re-using tank . -- <br /> (�_ Permanent Closures x $90)) <br /> S. Plan Check Fee $30. v <br /> /w `5 Total Fee Due <br /> Total Number of Tanks <br /> • cal Health District. Enclose this worksheet <br /> Make all fees payable to San Joaquin Lo <br /> with your check. <br /> EXAMPLE - Annual Fee for Facility with 4 Tanks <br /> (1 regular, i unleaded, I supreme. 1 waste oil) <br /> $150 <br /> Ia. Existing Facility 6 1st Tank 150 <br /> b. 3 Additional Tanks x $50 224 <br /> 2. State Surcharge, 4 Tanks x $56 <br /> Total Number of Tanks 4 <br /> Total Fee Due $524 <br /> -Both <br /> a Health District Representative_ <br /> Both closures will be conditioned. Co <br /> 2 -;;G <br />