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BCE #14573 <br /> ° , N San Joaquin County <br /> Environmental Health Department DIRECTOR <br /> Donna ORHeran,REHS <br /> j 600 East Main Street <br /> Stockton, California 95202-3029 PROGRAM COORDINATORS <br /> Robert McClellon,REHS <br /> Jeff Canuesoo,REHS,RDI <br /> Website: www.sjgov.org/ehd Kasey Foley,REHS <br /> Phone: (209) 468-3420 <br /> Fax: (209)464-0138 <br /> APPLICATION FOR UNDERGROUND STORAGE TANK <br /> INSTALLATION PERMIT <br /> San Joaquin County Environmental Health Department (EHD) has established the following guidelines to <br /> assist you in the completion of your construction project. The guidelines specify the construction and <br /> monitoring criteria necessary to complete our review of your proposed underground storage tank (UST) <br /> system. <br /> A. PLAN REVIEW GUIDELINES FOR NEW INSTALLATION OF UST's <br /> 1. An installation permit and payment of appropriate fees shall be required for the installation or <br /> modification of any underground storage tank system, which will be used for hazardous <br /> substances. <br /> 2. Contractors shall submit, or have on file with the local agency, information verifying that they <br /> possess a current State Contractor's License (A, B, C-36, or C-610-40), hazardous <br /> substance removal certification, and Workmen's Compensation Insurance. <br /> 3. The contractor shall be responsible for ensuring that conditions at the site provide for <br /> workplace safety, protection of the environment, and maintenance and integrity of nearby <br /> structures. <br /> 4. Under no circumstances shall any regulated material be placed into any underground tank <br /> system without approval of the EHD. <br /> 5. All tanks, piping, and equipment shall be installed and tested in accordance with the <br /> manufacturer's recommendations/guidelines. <br /> 6. All interstitial monitors must perform according to manufacturer's standards, and must be <br /> tested annually in accordance with section 2630 (d), California Code of Regulations (CCR), <br /> Title 23 Waters, Division 3, Chapter 16. <br /> 7. Permits and/or plan check approval may also be required by the San Joaquin Valley Unified <br /> Air Pollution Control District, the County/City Building Department and the appropriate Fire <br /> District. <br /> 8. Applicant/contractor shall adhere to the approval plan and any change or deviation shall be <br /> reported to and approved by EHD prior to installation. <br /> 9. The application for installation of underground tanks is only valid for the calendar year in <br /> which it has been issued. A permit may be extended into the next calendar year if a letter is <br /> sent to EHD requesting this extension thirty days prior to the end of the calendar year. A one <br /> time, one year extension may be granted by EHD upon receipt of this letter. <br /> Revised 8/1/11 1 <br />