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VIRONMENTAL HEALTH DEPARTME <br />SAN JOAQUIN COUNTY <br />600 E. Main Suva <br />Stockton, Calilomia 95202 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 <br />Facility UR'ST Consultation Chem 2 ist <br />Representative: Z - <br />Title: <br />Facility Address: —. <br />F& <br />19 <br />monitoring <br />Due <br />Certification (go over last MC) <br />eve 12 months <br />Spill Buckets <br />Sensors <br />Leak Detectors <br />Line Test Requirements (if needed or not <br />for pressurized piping) <br />Sensor/Leak Detector failures can have <br />emergency replacement with EHD permit <br />obtained within AIAP-10 of replacement <br />All other work must have EHD permit <br />prior to work being performed <br />UST owner is responsible to see that EHD <br />permits are properly obtained <br />Secondary Containment Requirements <br />Go over last date - Due every 36 months <br />California EPA ID number <br />Hazardous waste generator <br />® <br />Hazardous Materials Management Plan <br />1� <br />Free UST and CUPA Classes Handout Provided <br />IT <br />