Laserfiche WebLink
FEE WORKSHEET PER EACH FACILI <br /> �/ FACILITY 77Gn <br /> DBA ,o�"�' CJ ADDRESS <br /> MAILING ADDRESS <br /> I. Operating Permit Application/Annual Inspection Fee <br /> a. First Tank at Facility @ $150. <br /> b. Additional Tanks (# 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 /> ($56 x Total # 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 #3 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 /> (# Permanent Closures x $90) 2 7 <br /> 5. Plan Check Fee $30. 3 v <br /> Total Number of Tanks Total Fee Due "G' <br /> Make all fees payable to San Joaquin Local Health District. Enclose this worksheet <br /> with your check. PAYMENT <br /> RECEIVED <br /> MAR 3 01987 <br /> EXAMPLE Annual Fee for Facility with 4 Tanks fNVIRONMENTAE <br /> HEgLTR <br /> (1 regular, 1 unleaded, 1 supreme, 1 waste oil ) PERMIT/SERVICES <br /> la. Existing Facility & 1st Tank $150 <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 $524 <br /> *Both closures will be conditioned. Contact a Health. District Representative. <br /> 2-86 <br /> 0 C-7 �l � <br />