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Levand Property 3 East Eleventh St, Tracy <br /> SR0069109 <br /> 7. See 'Sampling Protocol For Routine Tank Removals' and 'Verification Analysis' on page <br /> 6 and 7 of the permit application for required analytical tests and number of samples to <br /> be taken and witnessed by EHD. If there are pipes, please be aware UST piping shall <br /> not be removed until EHD has laid out the sampling points. <br /> 8. A copy of the Tracy Fire Department permit must be submitted at the time of removal. <br /> 9. 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 California certified <br /> laboratory with affixed chain of custody will be accepted by this EHD. <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 rinsate, residual fuel, or waste oil receipt. <br /> 10. Permit expires 180 days from the date of approval. If an extension to the expiration date <br /> is required, a written request must be submitted to this office prior to the expiration date. <br /> If you have any further questions, please contact me at (209) 468-8257. <br /> Thank you, <br /> Thuy Tran, Sr. REHS <br /> Senior Registered Environmental Health Specialist <br /> CC: Levand Family Trust c/o Paula Levand <br /> 24692 Sand Wedge Lane, Valencia, CA, 91355 <br /> 2 <br />