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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Donna K.Heran,RE.H.S. Unit Supervisors <br /> Director 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Mike Huggins,R.E.H.S.,R.D.I. <br /> ' Douglas W.Wilson,R.E.H.S. <br /> Program Manager <br /> Laurie A.Cotulla,R.E.H.S. Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Mark Barcellos,R.E.H.S. <br /> May 12,2003 <br /> Valued Engineering <br /> 1659 Lucerne Ave <br /> Stockton CA 95203 <br /> Re: Pacific Mini Mart <br /> 4511 Pacific Ave, Stockton <br /> The permit application to remove an underground storage tank from the above referenced <br /> facility has been approved with the following conditions: <br /> 12. See pages 7 & 8 of the permit application for required analytical tests. <br /> 3. A copy of the fire department permit must be submitted at the time of removal. <br /> 4. Schedule removal appointment 48 hours in advance. <br /> 5. In addition,the following information must be submitted within 30 days of the removal <br /> date: <br /> (a) Analytical results, mailed from the lab <br /> (b) UST Tracking Record Sheet and Tank Hazardous Waste Manifest <br /> (c) Tank Closure Certification Form <br /> (d) Hazardous Waste Manifest for piping, rinsate, residual fuel, or waste oil receipt if <br /> applicable <br /> (e) Submit the backfill excavation certificate as required by San Joaquin County <br /> 6. This permit expires on August 12, 2003. <br /> If you have any questions please contact Michelle Le at(209) 468-9847. <br /> Thank you, <br /> 11AA <br /> Michelle Le, R.E.H.S. <br /> Senior Registered Environmental Health Specialist <br />