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11/04/2010 THU 12: 19 FAX 20"'683433 SJC EHD 12001 <br /> ********************* <br /> *** FAX TX REPORT *** <br /> ********************* <br /> TRANSMISSION OK <br /> JOB NO. 3760 <br /> DESTINATION ADDRESS 919255517888 <br /> PSWD/SUBADDRESS <br /> DESTINATION ID <br /> ST. TIME 11/04 12:19 <br /> USAGE T 00' 25 <br /> PGS. 1 <br /> RESULT OK <br /> San Joaquin County <br /> C, Environmental Health Department DIRECTOR <br /> �• =C�.•O Donna Heran,REHS <br /> 600 East Main Street <br /> PROGRAM COORDINATORS <br /> �.ONStockton, California 95202-3029 Robert McClellon,REHS <br /> Jeff Carruesco,REHS,RDI <br /> cq •. �;�° Website:www.sjgov.org/ehd Kasey Foley,REHS <br /> r F o R <br /> Phone: (209)468-3420 Linda Turkatte,REHS <br /> November 4, 2010 Fax: (209)464-0138 <br /> Liddy McKenzie <br /> Gettler Ryan Inc <br /> 6747 Sierra Court <br /> Dublin, CA 94568 <br /> Re: Arco#6080 SR0061245 <br /> 85 East Louise Ave, Lathrop 95330 <br /> The San Joaquin County Environmental Health Department(EHD)has completed the initial review of <br /> the permit application to remove the following underground storage tank(UST)system along with the <br /> associated piping, four dispensers, turbine pumps, and appurtenances at the above noted address: <br /> 12K gallon UST(ID#39-000231656-0165601)midgrade unleaded, <br /> 12K gallon UST(ID#39-000231656-0165602)regular unleaded, <br /> 12K gallon UST(ID#39-000231656-0165603) premium unleaded, <br /> The permit cannot be approved until the following deficiency items are submitted: <br /> 1. A copy of"Health and Safety Plan". <br /> 2. Completed page 3 of the Closure Permit application. Name of the local Fire District and the fire <br /> permit number, name of the third-party laboratory and the third-party sampling firm are lacking. <br /> 3. Completed page 4 of the Closure Permit application. Information on decontamination <br /> procedures needed to be provided in section 7a-d. <br /> 4. Correct hazardous waste hauler registration number. On the Closure Permit application, <br /> sections 6, 7e, 8b of page 4 and section 11 c of page 5 lists incorrect Hauler Registration <br /> number for Belshire Enviromental Services Inc. <br /> 5. Tank/piping disposal site information on page 5 of the Closure Permit application section 8c <br /> has an incorrect address for Clean Harbors Environmental. The EPA ID number listed does <br /> not belong to Clean Harbors. <br /> 6. Completed "Authorization to Release" form. The laboratory name is missinq. <br />