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aury �. <br />v f <br />SAN __JQQQU IN Environmental Health Department <br />COUNTY <br />rat,P` Greatness grows here. <br />APPLICATION FOR UNDERGROUND STORAGE TANK <br />INSTALLATION PERMIT <br />San Joaquin County Environmental Health Department (EHD) has established the following guidelines <br />to assist you in the completion of your construction project. The guidelines specify the construction <br />and monitoring criteria necessary to complete our review of your proposed underground storage tank <br />(UST) system. <br />A. PLAN REVIEW GUIDELINES FOR NEW INSTALLATION OF UST's <br />An installation permit and payment of appropriate fees shall be required for the installation <br />or 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 <br />they possess a current State Contractor's License (A, B, C-36, or C -61/D-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 <br />one time, one year extension may be granted by EHD upon receipt of this letter. <br />10. SITE MITIGATION: <br />a. In the event contamination is observed, confirmed or suspected as a result of a <br />leaking UST system, it is the responsibility of the owner or operator to submit a <br />work plan to EHD Site Mitigation Unit prior to initiating any assessment or <br />remediation activities. <br />To minimize delays, a Corrective Action Plan may be submitted concurrent with <br />tank closure or installation plans. Address one copy of the Corrective Action Plan <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T (209) 468-3420 1 F (209) 464-34331 www.sjcehd.com <br />