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w <br /> Van de Pol Pacific Pride 351 N. Beckman Rd. Lodi, CA 95241 SR0059341 <br /> 4. The PE shall certify the above information is true before certifying the tanks can provide structural <br /> support if lined. The certification shall be provided to the local agency by the owner. <br /> 5. Qualified service technicians must possess or work under the direct and personal supervision of an <br /> individual physically present at the work site who possesses all of the following: <br /> a. One of several permissible valid, current contractor's licenses issued by the Contractors State <br /> License Board (may be issued to the installation company), or a Tank Tester's license issued to <br /> the individual by the State Water Board, and <br /> b. A valid, current California UST Service Technician certificate issued by the International Code <br /> Council(ICC), and <br /> c. A valid, current certificate of training from the manufacturer(s) of the component(s) being tested, <br /> repaired, or serviced. <br /> 6. Qualified installers must possess or work under the direct and personal supervision of an individual <br /> physically present at the work site who possesses all of the following: <br /> a. A valid, current contractor's license issued by the Contractors State License Board, and <br /> b. A valid, current certificate of training from the manufacturer(s) of the component(s) being <br /> installed, and <br /> c. A valid, current UST Installation/Retrofitting certificate issued by the International Code Council <br /> (ICC). <br /> 7. Employees who perform repair or lining work shall be properly trained in the following: <br /> a. Handling and disposal of tank bottom sludge and residue. <br /> b. Use of equipment and procedures for testing and vapor-freeing tanks. <br /> c. All applicable safety rules and regulations. <br /> d. Handling and application of tank lining material. <br /> e. OSHA required permit for confined space entry requirements and procedures. All personnel <br /> participating in the tank lining process shall have been thoroughly trained in all aspects of <br /> confined space entry, and shall have completed an OSHA approved 40-hour course for <br /> personnel involved in confined space entry and procedure. <br /> 8. A"UST Certification of Installation/Modification"form shall be submitted by the owner or the owner's <br /> agent[CCR Section 2635(4)] before this upgrade is considered complete by EHD. <br /> 9. Any changes in information and scope of work must be submitted to EHD for approval prior to <br /> commencing work. All new addenda supersede the previous ones. <br /> 10. Permit expires 180 days from the date of approval. If an extension to the expiration date is required, <br /> a written request must be submitted to this office prior to the expiration date. <br /> 11. The lined tanks shall be inspected within ten years of lining and every five years thereafter by a <br /> coatings expert or special inspector. Written certification shall be provided by the tank owner and <br /> the party performing the inspection to the EHD within 30 calendar days of completion of the <br /> inspection. The inspection shall be performed pursuant to Title 23, Division 3, Chapter 16, Section <br /> 2663(h)or the current regulatory section if that section has been replaced. <br /> If you have any questions regarding these conditions, please contact me at(209)468-3451. <br /> Thank you, <br /> Kajje 11 <br /> I`7 <br /> Kasey Foley, REHS <br /> Program Coordinator <br /> 2 <br />