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Safeway, 6425 Pacific Ave, Stockton (SR0052860) <br />California Code of Regulations (CCR), Title 23 Chapter 16 Table B for complete <br />list). The component must bear the appropriate mark as required by the <br />independent testing organization. <br />5. Any changes in information and scope of work must be submitted to EHD for <br />approval prior to commencing work. All new addenda supersede the previous <br />ones. <br />6. Contact Garrett Backus to arrange the following inspections (a 48 hour notice is <br />required): <br />a. One hour hydrostatic test (or equivalent) on the 91 fill spill bucket. <br />b. Verify the five gallon capacity and drain valve operation of the 91 fill spill <br />bucket. <br />c. An approved test (hydrostatic test) must be performed to determine the <br />integrity of the under dispenser containment pans and the sumps being <br />repaired. <br />7. A "Certificate of Compliance for Underground Storage Tank Installation Form C" <br />shall be submitted by the owner or the owners' agent [pursuant to (CCR) 2635(d)] <br />before this repair will be considered complete by the EHD. <br />If you have any further questions, please contact me at (209) 468-2986, fax to (209) 468- <br />3433 or email to gbackus@sjcehd.com. <br />Thank you, <br />iarTeft' <br />Backus <br />Senior Registered Environmental Health Specialist <br />Page 2 of 2 <br />