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1580 W Main Street, Ripon, CA 95366 <br />Page 2 <br />5. Complete and submit a copy of a UST Installation Certificate of Compliance <br />(Former Form C) to this office no later than 30 days after work is completed. <br />6. Tank integrity tests must be performed upon completion of work, if concrete is <br />broken, prior to the contractor signing off of the jobsite. The test results must be <br />submitted to SJCEHD within 7 days of completing this project. <br />7. All parts used for this UST Retrofit must be certified by an independent testing <br />organization and labeled as required by the organization. (UL, ULC, ANSI, API, <br />ASTM, etc. See California Code of Regulations, Title 23, Chapter 16 Table B for <br />complete list.). Pursuant to the Underwriters Laboratories Inc (UL) listings, only <br />those products bearing the UL mark will be considered listed (only applicable to <br />UL listed products). <br />8. Permit expires 180 days from date of approval. Note: If an extension to the <br />expiration date is required, a written request must be submitted to this office prior <br />to the expiration date. <br />If you have any further questions, please contact me at (209) 468-3439. <br />Thank you, <br />VA <br />lU , <br />r <br />Muniappa Naidu <br />Senior Registered Environmental Health Specialist <br />