Laserfiche WebLink
A l <br /> .r <br /> FEI_ WORKSHEET LINDE'S SHELL <br /> 3011 W. BENJAMIN HOLT OR. <br /> DB.'. STOCKTOK CA 95209 <br /> ADDRESS <br /> 1. Operating Permit Application/Annual Inspection Fee <br /> a. Existing Facility and 1st Tank @ $150. /SO D8 <br /> b. Additional Tanks (# 3 Additional Tanks x $50) /3D.Dv <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit) <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 /> (# o Temporary closures x $80) p <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 /> (# D Perianent Closures x $90) O <br /> Total Number of Tanks Total Fee Due 115 ,00 <br /> Q61 <br /> ake 311 fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> With ;cur 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 & 1st Tank $150 <br /> b. 3 Additional Tanks x $50 pCIRTZI <br /> 2. State Surcharge, 4 Tanks x $56 - 224 <br /> TER 3 1y8b <br /> r <br /> tal Number of Tanks 4 Total Fee Due SF24 <br /> ENVIROMENTAL HEALTH 4 <br /> PERMIT/SERVICES <br /> *Both closures will be conditioned Contact a Health District Representative. <br /> 12/85 <br /> i <br />