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9255517899 Line 1 0" -:51 P.M. 11-04-2010 2/13 <br /> 11/04/2010 THU 12: 19 FAX 20946, 33 SJC EHD 12001/001 <br /> San Joaquin County <br /> Pa"'" Environmental Health Department <br /> p • .•• .,.c DIRECTOR <br /> Donna Heran,REHS <br /> r• r>," . 600 East Main Street <br /> N ��i1�g� ( { StOC{CtOn, California 95202-3029 PROGRAM COORDINATORS <br /> 1.1l�Cl , tN% :sC; Robert McClellon,RENS <br /> Jeff Carruesco,REHS,RDI <br /> oQ NSP Website: www.sjgov.org/ehd Kasey Foley,REHS <br /> <«°a 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 /> I. 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 /> V/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 /> YYY 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 /> ATank/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 /> J6. Completed "Authorization to Release"form. The laboratory name is missing. <br /> /7. Completed "Backfill Excavation Certification". Name and signature in the Declaration section <br /> are missing. <br /> If you have any further questions, please contact me at(209)468-8257. <br /> Thank you, <br /> Thuy Tran, REHS <br /> Registered Environmental Health Specialist <br />