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State 16ter Resources Contr oard <br /> IMPWDivision of Clean Water rrora>�s <br /> c = "° <br /> b <br /> 201.4 T Street•Sacramento,California 95814• 916 227-4326 Gray Davis <br /> Winston H.Hickox ( ) <br /> Secretary for Mailing Address: P.O.Box 94=4212•Sacramento,California•94244-2120 Governor <br /> Environmental FAX(916)227-4349•Internet Address: http://www.swrcb.ca.gov <br /> Protection <br /> March 21, 2000 <br /> ABOVEGROUND PETROLEUM STORAGE TANKFACILITY.• JULY I,2000 STORAGE <br /> STATEMENTAND FEES DUE <br /> This is to remind you that your biennial aboveground tank facility storage statement and fees are <br /> due by July 1, 2000. <br /> This is a summary of our current information regarding your facility based <br /> on previous storage statements. This summary is a status of your fee payment history. For your <br /> convenience, you may make changes directly on the summary and use it as your storage <br /> statement; however, be sure all of the following information is included: <br /> 1. Name and address of the tank facility. <br /> 2. A contact person for the tank facility. <br /> 3. The total storage capacity of the tank facility. <br /> 4. For each tank that exceeds 10,000 gallons in capacity and which holds a <br /> substance containing at least 5 percent of petroleum, <br /> a. Location(on the facility) <br /> b. Size (in gallons) <br /> C. Age (in years) <br /> d. Contents (type of petroleum product) <br /> Enclosure This checklist is meant to assist you in determining whether your facility <br /> is in fact subject to the Aboveground Petroleum Storage Act(Act). If your facility IS NOT <br /> SUBJECT to the Act,you do not owe fees. Please complete the checklist as appropriate and <br /> return it tO <br /> State Water Resources Control Board <br /> Division of Clean Water Programs <br /> ATTN: Tammy Silva-Perry <br /> P.O. Box 944212 <br /> Sacramento, CA 94244-2120 <br /> If your facility IS SUBJECT, a fee must also be submitted with your storage statement <br /> according to the following fee schedule: <br /> Calijfbrnia Environmental Protection Agency <br /> �,I <br /> t Recycled Paper <br />