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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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J
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JACK TONE
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13475
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2300 - Underground Storage Tank Program
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PR0502118
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BILLING_PRE 2019
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Entry Properties
Last modified
8/11/2021 1:11:52 PM
Creation date
11/5/2018 3:04:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0502118
PE
2381
FACILITY_ID
FA0005333
FACILITY_NAME
JACKPOT
STREET_NUMBER
13475
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06326004
CURRENT_STATUS
02
SITE_LOCATION
13475 N JACK TONE RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\13475\PR0502118\BILLING.PDF
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EHD - Public
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..d <br />FEE WORKSHEET <br />DBA Horton's Gas Mart <br />ADDRESS 13475 Sacktone Road, Lodi, CA 95240 <br />1.. Operating Permit Application/Annual Inspection Fee <br />a. Existing Facility and 1st Tank @ $150. <br />b. Additional Tanks (# z Additional Tanks x $50) <br />.2. State Surcharge (per tank) (Due with Permit Application, <br />on renewal or amendment of operation permit) <br />($56 x Total #_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 />0 = Temporary closures x $80) <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 />(#_ Permanent Closures x $90) <br />150.00 <br />100.00 <br />$168.00 <br />Total Number of Tanks 3 Total Fee Due $45:8.00 <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 />(1 regular, 1 unleaded, 1 supreme, <br />1a.. Existing Facility & 1st Tank <br />b. 3 Additional Tanks x $50 <br />2. State Surcharge, 4 Tanks x $56 <br />Total Number of Tanks 4 <br />1 waste oil) <br />$150 <br />ppray <br />4 <br />F 10 198b <br />Total Fee Due F84 <br />ENVIROMENTAL HEALTH <br />F ERMIT/SERVICES <br />*Both closures will be conditioned. Contact a Health District Representative <br />12/85 <br />
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