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SAN J DAQU I N Environmental Health Department <br /> < WV' COUNTY— Linda Turkatte, REHS, Director <br /> Kasey Folay,REHS,Assistant Director <br /> 'gc,Foa-� Greatness grows here. <br /> PROGRAM COORDINATORS <br /> Robert McClellan,REHS <br /> Jeff Carrues'o,REHS,RDI <br /> GG/Gr-'J� G✓�/��ZmI/G� e, ' 7Z) 6 Michael Kith,REHS <br /> N REHS <br /> Muniappa aidu.du.REHS <br /> 3. NO PERMIT REQUIRED" (EHD Notification required) <br /> See the mandatory conditions below: <br /> 1. Shear valves connected to Bravo float&chain devices <br /> 2. Bravo float&chain repairs <br /> 3. Turbine or dispenser relay switch repair/replacement used for positive shutdown <br /> 4. Cold start or monitoring panel("like for like")replacement <br /> S. Spill container in tank top sump <br /> 6. Liquid sensor("like for like") <br /> 7_ Leak detector("like for like") <br /> 8. Dispenser replacement/repair without structural damage,when no conversion frames are required <br /> 9. Dispenser deflector plates installation <br /> 10. Breaking concrete over tank system(tanks,piping,dispensers,etc.)for aesthetic concrete or asphalt <br /> work only,as long as secondary containment testing is done immediately following concrete work and a <br /> test result submitted to the EHD within 30 days of testing. <br /> 11. Monitoring panel circuit board("like for like")or software upgrade. <br /> All repaired components must be tested within 30 days of repairs and test results must be submitted to the <br /> EHD within 30 days of testing.A 48-hour notification is required to be submitted to the EHD(via <br /> ust(@socehd.com prior to testing). <br /> "CONDITIONS FOR EHD NOTIFICATION ONLY REQUIRED REPAIRS <br /> A full EHD permit including the"Failure to Obtain a Permit"penalty will be required if these <br /> conditions are not met) This work requires EHD's acknowledgment of receipt prior to <br /> implementation: <br /> 1. Notify the EMD 48-hours in advance of any repair implementation by emailing ust@sicehd.com <br /> or faxing your notification and a scope of work to (209)468-3433.An EHD inspector may stop by <br /> the facility to inspect the repair and verify technician's certifications. <br /> 2. The service company must install the part and test the system (according to the manufacturer's <br /> installation instructions)to verify its installation and functionality. <br /> 3. The service company must provide the following documentation to the tank owner/operator for <br /> inspector to review during annual UST inspection. <br /> a. Description of part(s)installed (parts list,cut sheets,etc.) <br /> b. Name& UST ICC#of Service technician doing the work(ICC,manufacturer certification <br /> proof,etc.,) <br /> c. Testing documentation to verify installation and functionality of the repair <br /> 1' 1 li 1 13 .ip,a Pig <br />