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San Joaquin County <br /> Environmental Health Department DIRECTOR <br /> �< .oG,. <br /> R.: zy 600 East Main Street Donna Heran,REHS <br /> Stockton' California 95202-3029 PROGRAM COORDINATORS <br /> h ' Robert McClellon,REHS <br /> AW" Jeff Carruesco,RENS, RDI <br /> Website:' � www s; ov.or /ehd Kasey Foley,REHS <br /> Phone: (209)4L�p oRi 4 Linda Turkatte,REHS 68-3420 <br /> Fax: (209)464-0138 <br /> ' October 26,2011 <br /> Frank R.Poss,IV <br /> PSI <br /> ' 4703 Tidewater Avenue,Suite B <br /> Oakland,CA 94601 <br /> ' Re: Walgreens SR0063738 <br /> Mariposa and Farmington Road <br /> Stockton, CA 95205 <br /> San Joaquin County Environmental Health Department(EHD) has reviewed the permit <br /> application to close in place an estimated 1,000-gallon underground storage tank(UST)of <br /> ' unknown content at the above referenced facility. The permit application has been approved <br /> with the following conditions: <br /> ' 1. If the removed backfill material and soil is found to be contaminated it must be disposed <br /> of at an approved disposal location. Treatment of soil onsite can only be performed under <br /> a hazardous waste treatment permit. <br /> t2. Inert USTs with at least 30 pounds of dry ice per 1,000 gallon volume per Stockton Fire <br /> Department, and any additional amount if required by the Fire inspector on site. <br /> 3. A copy of the submitted"Health and Safety Plan" must be on the jobsite for review. <br /> ' 4. See"sampling protocol" on pages 7 & 8 of the permit application for required analytical <br /> tests and number of samples to be taken and witnessed by EHD. At least 4 samples are <br /> required. <br /> ' 5. A copy of the Fire Department permit or an official from the Fire Department must be <br /> available on site at the time of removal. <br /> 6. You are responsible for securing excavation if it will not be backfilled immediately. <br /> 7. Submit the following information to EHD within 30 days after the UST removal date: <br /> (a) Only analytical results that come directly from a third party California certified <br /> ' laboratory with affixed chain of custody will be accepted by EHD. <br /> (b) UST Tracking Record Sheet and/or Tank Hazardous Waste Manifest. <br /> (c) A copy of the completed Tank Closure Certification Form (DTSC Form 1249) <br /> ' (d) A copy of the Uniform Hazardous Waste Manifest of the rinsate and any hazardous <br /> waste signed by the designated facility which receives the waste. <br /> 8. This permit expires 180 days from the approval date. <br /> ' 9. Schedule the removal inspection with EHD at least 48 hours in advance. <br /> If you have any questions please contact Jeffrey Wong at(209)468-0335. <br /> Jeffrey� ong, REHS ✓ <br /> ' Senior Registered Environmental Health Specialist <br />