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1 �. <br /> 0""U"K REV. 5(12-97) <br /> ga7a7p <br /> SACUmErrTO,CA 9447tivocao STATE OF CAUF <br /> JA <br /> BOARD OF EQUALIZATION <br /> UNDERGROUND STORAGE.TANK FEE RETURN (�(� t01Q1 322.96Ep <br /> DUE ON OR BEFOREn� 9o_ gUaONLY <br /> o4�z5/98 FOR ;'( Hia <br /> . JANUARY - MARCH, )gsg <br /> Mail To: USTC iRVTKQ2 Aocounr rJurloar rASTATE BOARD OF EQUALIZATION 1898 TK MT 44�-031529 fltEwFUEL TAXES DIVISION iZ <br /> PO BOX 942879 WATERLOO L i QUOR$ FILE <br /> SACRAMENTO CA 94270-5151 NENG CHER <br /> k <br /> 3407 PEPPERIOGE DROVE EFF <br /> SAN JOSE =i CA. .95148 <br /> 2512 EAST .tilfaTERO.00 RD I READ INSTRUCTION$ <br /> 13IEFCAE PREPARING <br /> Dake changes if name <br /> k Or AddfGed iti incorrect. <br /> GENERAL INFORMATION <br /> Every owner of an underground storage.tank who is required to Ob#sin a permit to awn Of I'apr3rst@ a Iank under Section 252$4 of <br /> the ?iealth and Safety Code shall Pay a storage fee far each anon of <br /> E g P+$iroteum products IpiaC8d in 1116 tank, <br /> I <br /> DEFINITIONS <br /> Owner Is defined to Include an ' <br /> Y person as wall as any city, county or district ar any agency, including dOPartments IhereW. <br /> Owner does not include the state government, federal government <br /> or an Operator whq r riot an orir,@f. <br /> Petroleum Is defined as crude oil or any fraction thereof, ;I <br /> ea, which i <br /> Fahrenheit)and pressure(14.7 pounds per a liquid at standard conditions of temperature (Bd degrees <br /> P square Inch), <br /> tlnderpround storage tank means any Or combination of tanks used for the storage of petroleiEm and located substaniialE <br /> or totally beneath the surface of the ground, Including pipes connected to the tanks. y <br /> The tee does not aPPIY to petroleum products placed in underground storage tanks!that <br /> 1. are located on a farm ar residence, used to store motor fuel for noncom <br /> 1,100 gallons or leas; or m rcial Purposes and have s capacity of <br /> 2. atom heating oil for cOnsumption.OA the premises where stored. <br /> E <br /> FILING RIBQUIREMENTS <br /> Every Owner of an underground storage tank Shall file a storage fee return. This Includes tanks that are temporarilyem <br /> in use, The return is due on or before the 25th clay of the month following the end of the :oportin Pty or not . <br /> In a penalty of 10% and interest at an adjusted rate established under Se�von 5591.5 of !fie Re enuei and Tajo ton CadrSSThe <br /> return must be filed even though you have no liability for the fee. <br /> If you have sold any of Your1anks or have moved, please notify this office. If you fare not:the tank owner, pisase indicate the <br /> current owner and their mailing address on an attachment and forward along with thf5 return <br /> INSTRUCTIONS: linter total kanp <br /> In _ f petrobum Rleoed into all tank$ A 1k B C <br /> k eatgr�y>#nyumt�er in Column C. (A. qa try ft rasa"'Column B; and WHO <br /> iFRATE OF FEE TOTAL FEE DUE <br /> resort on aapaaky,) GA ONLY <br /> ONLY (Column A x e) <br /> 1. Total gallons of petroleum placed in all tanks owned by you 1. !' <br /> 2. Penal <br /> ty Irr+erldply bins t, Column C. y r ' <br /> due date shown ebore1 ('tQ1lf peymerlr is mads$her -� <br /> is PENALTY 2. <br /> 3. INTEREST OF 12% PER ANNUM (0,010000 PER MONTH) if k 0 <br /> P INTEREST 3• <br /> 4. TOTAL AMOUNT DUE AND PAYABLE (odd tinlO f, 7 er10 31 (i <br /> I <br /> 4. <br /> y � _ <br /> v <br /> 1 <br /> Okdmined by mo&no ro the boil or th k u a s 3, - <br /> Y rwwledge Ana aehol id a true.cOr <br /> 0!eat and Ln—' <br /> roryrn <br /> HENG 3-CHER PARTNER7H 0 } ¢139} 463-41 ; 4 4-21 - 98 <br /> Afwey3 tiyrnv sour aoCae+nt numbw On your eh9ek or money Order. Make a copy Of'chis doci,.men! for your r=rrys. <br />