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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0526575
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BILLING_PRE 2019
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Entry Properties
Last modified
3/3/2021 10:40:55 PM
Creation date
11/6/2018 10:09:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0526575
PE
2381
FACILITY_ID
FA0001074
FACILITY_NAME
QUIK MART LIQUORS
STREET_NUMBER
224
STREET_NAME
PARK
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21938106
CURRENT_STATUS
02
SITE_LOCATION
224 PARK AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\P\PARK\224\PR0526575\BILLING .PDF
QuestysFileName
BILLING
QuestysRecordDate
8/15/2016 8:59:28 PM
QuestysRecordID
3167338
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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FEE WORKSHEET PER EACH FACILITY <br /> ` FAC'LT' <br /> `..e <br /> DBA ADDRESS a a q f a r K 11q0 e. m <br /> MAILING ADDRESS CGc feC- 6' <br /> PAYMENT <br /> 1. Operating Permit Application/Annual Inspection Fee RECEIVED <br /> a. First Tank at Facility @ $150. SEP 2 ? 1y88 <br /> b. Additional Tanks (/ Additional Tanks x $50) <br /> 2. State Surcharge (per tank) (Due with Permit Application. ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <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 f3 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 /> (I Permanent Closures x $90) <br /> 5. Plan Check Fee $30. <br /> 107 , Sg Fevve�c� c_ <br /> Total Number of Tanks Total Fee Due so <br /> � <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, 1 waste oil ) <br /> Ia. Existing Facility 8 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 /> EH 23 032 2/86 <br />
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