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y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Donna K.Herne,R.E.H.S. Unit Supervisors <br /> Carl Bor an,R.E.H.S. <br /> Director 304 East Weber Avenue, Third Floor gm <br /> AI Olsen,R.E.H.S. Stockton, California 95202-2708 Mike H, ,R.E.H.S.,R.D.I. <br /> Douglas . Wilson,R.E.H.S. <br /> Program Manager Telephone: (209) 468-3420 Marg t Lagono,R.E.H.S. <br /> Laurie A.Cotulla,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Rob McClellon,R.E.H.S. <br /> April 15, 2005 k Barcellos,R.E.H.S. <br /> JNS Construction <br /> 9200 E. Shaw Road <br /> Clovis CA 93611 <br /> Re: 3011 W. Ben Holt, Stockton <br /> Your application for permit to install a new underground storage t system at the above location has <br /> been approved with the following conditions: <br /> 1. Contact the fire department and the San Joaquin Valley Pollu o Control District for <br /> applicable permits. <br /> 2. The contractor shall be licensed by the Con tors L' ensing rd. <br /> 3. At least one person who holds the Interna al C e Cor, of(ICC) UST Installer/Retrofitter <br /> certification must be onsite when work i rfo d. <br /> 4. Double wall steel tanks must pass a H ay TeSf perfQ�ed prior to installation. <br /> 5. Any changes shall be submitted to for aorov fr to commencing work. All new <br /> submittals supercede the previou <br /> 6. All piping, fittings, sumps, unde ispenser co tient and tanks must be certified by an <br /> independent testing organizati d lalaeled as uired by the organization. (UL, ULC, ANSI, <br /> API,ASTM ect...See Title 23 Chapter 16 T B for complete list) <br /> 7. All monitoring systems s 11 be listed on the L 113-16. <br /> 8. All testing shall be in c$gpliance with manufacturer's instructions, section 2635 and section 2636 <br /> of California Code of F.&gulations (CCR) <br /> 9. Recommend installi utomal'fro pu utdown,which will, satisfy CCR 26350. <br /> 10. All piping must sltoa a ctai sump with anaudible/visual alarm. <br /> 11. All tank top ope , that, a co cted tc the primary space of the UST must have secondary <br /> containment, au a/visual alar4hud be vapor tight or terminate at grade. <br /> 12. Sumps and dispenser co ent must be constructed in a manner to prevent vapors from <br /> entering the fill. " <br /> 13. All secondary contaiAment must be constructed to prevent water intrusion. <br /> 14. The secondary containment system must be continuously monitored as required under California <br /> Health& Safety Code (A,") 25290.1 <br /> 15. Overfill prevention shwVatisfy CCR 2635(b)(2)(B). <br /> 16. Underground storage tare to be anchored per the permit application. <br /> 17. Submit employee tFon. <br /> certification from the manufacture of the tank and piping prior to <br /> commencing inst <br /> 18. The tank owner 81bot submit the owner statement and name/ICC certification information for this <br /> facility's,"'California UST System Operator" (Designated Operator)prior to the final inspection. <br /> 19. A "Cericate of Compliance for Underground Storage Tank Installation Form C" shall be <br /> Submi d by the owner or the owners' agent [pursuant to California Code of Regulation(CCR) <br /> 2635(d)] before this upgrade will be considered complete by SJCEHD. <br /> Pagel of 2 <br />