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San Joaquin County <br /> .� Environmental Health Department DIRECTOR <br /> _ < 0 Linda Turkatte,REHS <br /> s i 1868 East Hazelton Avenue <br /> Stockton, California 95205-6232 PROGRAM COORDINATORS <br /> Robert McClellon, REHS <br /> Jeff Carruesco,REHS,RDI <br /> Website: wwwsjgov.org/ehd Kasey Foley, REHS <br /> - Rodney Estrada,REHS <br /> Phone: 209 <br /> ( )4683420 Adrienne Ellsaesser, REHS <br /> June 9, 2015 Fax: (209)464-0138 <br /> Pal Dhaliwal <br /> Mossdale Chevron <br /> RE: New Owner Consultation: 444 Mossdale Rd., Lathrop, CA SR0072386 <br /> The San Joaquin County Environmental Health Department has been informed that as of February 6, 2015 you <br /> q tY <br /> are the new owner or operator of the underground storage tanks UST's at the above-mentioned facility. <br /> p 9 9 (UST's) Y <br /> Please complete the following items within 30 days of the close of escrow [CA Health and Safety Code section <br /> 25284 (b) & (c)]: <br /> 1. Create an account and obtain facility access to the facility on the California Environmental Reporting <br /> System (CERS) by contacting the lead user on the account and going to http://cers.calepa.ca.gov. <br /> Ensure that all required uploads are completed in a timely manner. <br /> 2. Underground Storage Tanks — Facility Form — Provide all current information. (Note: Any change of <br /> information must be updated in CERS within 30 days of the changes. Log into CERS, update the <br /> required information, and submit for review by the EHD. Complete a separate tank form for each tank. <br /> 2. Underground Storage Tanks—Tank Forms—Provide all current information in CERS. <br /> 3. Certification of Financial Responsibility/Letter from Chief Financial Officer: Complete the form provided, <br /> and make a copy for our records. This document is required to be submitted annually. <br /> 4. Underground Storage Tank Monitoring and Response Plans: upload in CERS. Retain an approved <br /> copy of these plans onsite for future reference. <br /> 5. Report #5021: Update all information for all programs at this site including the UST and Hazardous <br /> Waste programs, sign and date. Bring with all other forms to our accounting office to pay for transfer <br /> fees and the $130/hr UST Consulting fee, if necessary. <br /> 6. If you are the owner, you must submit a notification form identifying the "Designated UST Operator" for <br /> each facility owned. A notification form is enclosed for your use. <br /> 7. Go to: http://www.waterboards.ca.gov/cwphome/ust/regulatorV/index.html - rqs to obtain the current <br /> statutes (Underground Storage of Hazardous Substances) and UST Regulations that you are required <br /> to have for your monitoring and response plan. <br /> 8. Also enclosed for your information is a brochure of Best Management Practices (BMP's) for Retail <br /> Gasoline Outlets that you can use as part of your BMP's for your facility. <br /> 9. Hazardous Materials Management Plan: Contact EHD Hazmat Staff at (209) 468-3420 for information <br /> on updating this plan. <br /> 10. Information and instructions for obtaining a permanent California EPA ID number (enclosed hereto): <br /> Complete the application for a California Hazardous Waste Permanent ID Number and fax it to (916) <br /> 255-4703. <br /> 11. Board of Equalization UST Storage Fee Account Number — Call (916) 322-9669 to obtain a current <br /> number for your facility. <br /> 12. San Joaquin Valley Air Pollution Control District— Call (209) 557-6400 to obtain an operating permit for <br /> the UST vapor recovery system <br /> 13. Food facility operations — Call Vidal Pedraza at (209) 468-0334 for operating permit for opening the <br /> retail food facility. A consultation appointment may be needed. <br /> 14. Go to: http://www.sicehd.com/Programs/Unitlll/unitiii.htm for additional information, updates, regulations <br /> and forms. The most current versions of all forms must be submitted. <br /> 1 <br />