Laserfiche WebLink
46 <br /> FEE WORKSHEET PER EACH FACILIP FACILITY s�(/ a� �` JK at <br /> DBA �2 s &6' f rS ADDRESS t17 _ <br /> MAILING ADDRESS QUO So' K7�roS 51ad< � <br /> _1a�mes w �'raZ(eY <br /> 1. New Facility or Addition <br /> a. First Tank $180. <br /> b. Additional Tanks (# Additional Tanks x $50) <br /> 2. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and Ist Tank @ $150. <br /> b. Additional Tanks (# <br /> Additional Tanks x $50) <br /> 3, State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> ($56 x Total # Tanks) <br /> 4. *Temporary Closure (per tank) Underqround 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) (See above #3 to calculate surcharge) <br /> 5. *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. 3 p <br /> (# `i( Permanent Closures x $90) <br /> Total Fee Due <br /> Total Number of Tanks ` <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 ) $150 <br /> Ia. Existing Facility & 1st Tank <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 �4 A i�\'1,7)�n <br /> Total Number of Tanks 4 Total Fee Due $524 d� l� (���f <br /> n 1986 <br /> ENVIRWOFNTAL HEALTH <br /> *Both closures will be conditioned. Contact a Health District ReprefdWit VICES <br /> 2-86 <br />