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PQ• U � !y Q: r q�iFO.R� June 9, 2016 • Sanaqu o in County n • J Environmental Health Department 1868 East Hazelton Avenue Stockton, California 95205-6232 Fahmi Al Sumeri Country Club Food & Fuel Mini Mart Website: www.Sjgov.org/ehd Phone: (209) 468-3420 Fax: (209) 464-0138 RE: New Owner Consultation: 1856 W. Country Club Blvd, Stockton, CA DIRECTOR Linda Turkatte, REHS PROGRAM COORDINATORS Robert McClellon, REHS Jeff Carruesco, REHS, RDI Kasey Foley, REHS Adrienne Ellsaesser, REHS Rodney Estrada, REHS Willy Ng, REHS The San Joaquin County Environmental Health Department has been informed that as of March 2016 you are the new owner or operator of the underground storage tanks (UST's) at the above-mentioned facility. Please complete the following items within 30 days of the close of escrow [CA Health and Safety Code section 25284 (b) & (c)]: 1. Create an account and obtain facility access to the facility on the California Environmental Reporting System (CERS) by contacting the lead user on the account and going to http://cers.calepa.ca.gov. Ensure that all required uploads are completed in a timely manner. 2. Underground Storage Tanks — Facility Form — Upload all current information into CERS. Log into CERS, update the required information, and submit for review by the EHD. Complete a separate tank form for each tank. (Note: Any change of information must be updated in CERS within 30 days of the changes). 3. Underground Storage Tanks — Tank Forms — Upload all current information into CERS. 4. Certification of Financial Responsibility/Letter from Chief Financial Officer: Complete the form provided, and make a copy for our records. This document is required to be submitted annually into CERS. 3. Underground Storage Tank Monitoring and Response Plans: Upload all current information into CERS. Retain an approved copy of these plans onsite for future reference. 4. Report #5021: Update all information for all programs at this site including the UST and Hazardous Waste programs, sign and date. Bring with all other forms to our accounting office to pay for transfer fees and the $130/hr UST Consulting fee, if necessary. 6. If you are the owner, you must submit a notification form identifying the "Designated UST Operator" for each facility owned. A notification form is enclosed for your use. Upload all current designated operator information into CERS. 7. Go to: http://www.waterboards.ca.gov/cwphome/ust/regulatory/index.htmi - rgs to obtain the current statutes (Underground Storage of Hazardous Substances) and UST Regulations that you are required to have for your monitoring and response plan. 8. Also enclosed for your information is a brochure of Best Management Practices (BMP's) for Retail Gasoline Outlets that you can use as part of your BMP's for your facility. 9. Hazardous Materials Management Plan: Contact EHD Hazmat Staff at (209) 468-3420 for information on updating this plan. 10. Information and instructions for obtaining a permanent California EPA ID number (enclosed hereto): Complete the application for a California Hazardous Waste Permanent ID Number and fax it to (916) 255-1136. 11. Board of Equalization UST Storage Fee Account Number — Call (916) 322-9669 to obtain a current number for your facility, 12. San Joaquin Valley Air Pollution Control District — Call (209) 557-6400 to obtain an operating permit for the UST vapor recovery system 13. Food facility operations — Call Vidal Pedraza at (209) 468-0334 for operating permit for opening the retail food facility. A consultation appointment may be needed. 14. Go to: http://www.sjcehd.com/Programs/Unitlll/unitiii.htm for additional information, updates, regulations and forms. The most current versions of all forms must be submitted.