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! 0 <br /> San Joaquin County DIRECTOR <br /> Donna Heran,REHS <br /> Environmental Health Department <br /> P r ASSISTANT DIRECTOR <br /> Z... 600 East Main Street Laurie Cotulla,REHS <br /> a: a <br /> N; Stockton, California 95202-3029 PROGRAM COORDINATORS <br /> Carl Borgman,REHS <br /> Website: www.s ov.or /ehd Mike Huggins, REHS,RDI <br /> C4�iFORii�P 19 5 Margaret Lagorio,REHS <br /> Phone: (209) 468-3420 Robert McClellon,REHS <br /> November 21, 2008 Fax: (209) 464-0138 KaseyJeff aFoley, R HSHS,RDI <br /> Johnson Petroleum Construction, Inc. <br /> P.O.Box 7169 <br /> Auburn, CA 95604 <br /> RE: City of Stockton Redevelopment Dept., 701 W.Weber Ave.,Stockton CA <br /> The permit application(SR0055962)to remove one underground storage tank(UST)039- <br /> 0517543, associated piping and other appurtenances from the above referenced facility has been <br /> approved with the following conditions: <br /> 1. If the backfill material and soil is found to be contaminated it must be disposed of at an <br /> approved disposal location. Treatment of soil onsite can only be performed under a hazardous <br /> waste treatment permit. <br /> 2. A copy of the"Site Health& Safety Plan"must be on the jobsite for review. <br /> 3. See pages 7 & 8 of the permit application for required analytical tests and number of samples <br /> to be taken and witnessed by this department. Form EH 23 046 Revised 07/31/08 must be <br /> utilized. <br /> 4. A copy of the fire department permit must be submitted at the time of removal. <br /> 5. In addition, the following information must be submitted within 30 days after the UST <br /> removal date: <br /> (a) Only analytical results that come directly from a third party Califomia certified <br /> laboratory with affixed chain of custody will be accepted by this office. <br /> (b) UST Tracking Record Sheet and/or Tank Hazardous Waste Manifest. <br /> (c) Tank Closure Certification Form(DTSC form 1249). <br /> (d) Hazardous Waste Manifest for piping, rinsate, residual fuel, or waste oil receipt. <br /> 6. This permit expires 180 days from the approval date. <br /> 7. Schedule the removal inspection at least 48 hours in advance. <br /> If you have any questions please contact Ray von Flue at(209)468-9848. <br /> Thank you, <br /> Ray von Flue, REHS <br /> Senior Registered Environmental Health Specialist <br />