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BOAR <br />amft Culbertson, Pros. <br />TRUSTEES <br />James 'VAN JOAQUIN LOCAL HEALTH D16TRICT <br />SERVING <br />Patricia E. Vannuocl, Secy.AnthonatCity ofLodi <br />Earl Plmetntalan 8 ��]���]'�''t Hazelton Avenue, P. O. Boz 2009 San Joaquin County <br />FernSuybse �® ��/ I <br />UlStockton,Canfomla9520i City ofEacalon <br />Daniel L. Flores `�!J City of Manteca <br />209/488$781 Cit of Ripon <br />John D. Mast, M.D. l�pn �/ :1 ' Q;, y <br />William J. Wade 14'!f'�1 2i •� 19., � City of Stockton <br />Mary Anna Love Joel Khanna, M.D.. M.P.H., District Health Offloar �i City of Tracy <br />ENVIROMENTAL HEALTH %, San Joaquin County <br />FERM►T/SERVICES, y San Joaquin County <br />UNDERGROUND STORAGE TANK PROGRAM <br />RE: PERMANENT CLOSURE TANK REMOVAL POLICY* <br />U <br />e following information shall be submitted in duplicate on all Permanent Closure/ <br />nk Removal Plans: e/ <br />1. Facility address and telephone number of owner (or operator if different than <br />owner). <br />2•. Provide a parcel plot plan showing tank(s) to be removed and tank(s) distance <br />rom all premise septic tanks, buildings, and property lines, and all wells <br />Within 500 ft. <br />3. Provide the name of the contractor, including contractor's classification, <br />number,e of <br />urrentlyaand/ornpreviously stored in <br />each tank. <br />5. Provide the name of laboratory that will collect soil samples and a "Release of <br />Information Authorization" form signed by the facility owner/operator. <br />nIo Identify the method of disposal of all residual liquid, solids or sludges, <br />if applicable. <br />Identify how the tanks will be purged of all flammable vapors to preclude <br />explosion or to levels specified by existing regulations. <br />8. Method of disposal or reuse: <br />a. Ff`-tWe underground storage tank or any part of an underground storage tank <br />is destined for a specific reuse, identify the future underground storage <br />tank owner/operator, location of use, and nature of use. <br />b. If an underground storage tank or any part of an underground storage tank <br />is destined for reuse as scrap material, identify this reuse to the <br />San Joaquin Local Health District. <br />c. If the underground storage tank or any part of the underground storage tank <br />is to be disposed of, identify and document the method of disposal. <br />On submission of the above information the closure plan will be approved, approved with <br />changes, or disapproved. <br />After approval of plan, contact with this office is required to schedule an inspection <br />at least 24 hours prior to tank removal/soil sampling <br />* The above general policy shall apply to underground storage tanks which have no <br />known unauthorized release or other unusual circumstances. All other closures <br />may require additional site specific activities prior to approval of the closure <br />plan. <br />3/86 UGT 10 <br />