Laserfiche WebLink
& <br /> FEE WORKSHEET PER EACH FACIL. <br /> r FACILITY <br /> DBA f�C uo3� �EXXh�I ADDRESS Lo <br /> MAILING ADDRESS <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ 1150. <br /> b. Additional Tanks (N Additional Tanks x $50) <br /> 2. State Surcharge (per tank) (Due with Permit Application, <br /> on renewal or amendment of operation permit and temporary closure) <br /> (b56 x Total M �3 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 /> (!_& Temporary closures x $80) (See above 13 to calculate surcharge) <br /> 4 • `Permanent Closure (per tank) Underground Storage Tank in which <br /> storage has ceased and where the ownLr/oper�tQr has no intent <br /> PA1 <br /> of re-using tank _ REYMENT <br /> CEIVED <br /> 1 <br /> ( 5 Permanent Cl sures x $90) / <br /> SEP b 193y � � T <br /> S. Plan Check Fee 530. <br /> .ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <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 /> ( I regular, 1 unleaded, 1 supreme, I waste oil ) <br /> Ia. Existing Facility 8 Ist Tank 5150 <br /> b. 3 Additional Tanks x $50 150 <br /> 2. State Surcharge, 4 Tanks x $56 224 <br /> Total Number of Tanks 4 Total Fee Due 5524 <br /> .Both closures will be conditioned. Contact a Health District Representative. <br /> 2-7tG <br />