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San Joaquin <br /> DIRECTO <br /> s. oEnvironmental Health Department <br /> ff, donna Heran,REHS <br /> 868 East Hazelton Avenue <br /> Stockton, California 95205-6232 t= to �n sa INATO rr <br /> Robert McClellon,RENS <br /> —-- ---- Sell Canuesco,RENS,RDI <br /> 01 <br /> Kasey Foley,REHS <br /> C� Web-it;: wt jov. f ` <br /> Linda Turkatte,REHs <br /> Phone: (209)468-3420 Rodney Estrada.RENS <br /> Pax: (209)464-0138 Adrienne Ellsaesser,RENS <br /> September 9,2014 <br /> .TEN BARTLETT,JBARTLETT@ER C.COM <br /> RE: Chevron Station#96171, 6633 Pacific Ave, Stockton,CA 95207 <br /> The San Joaquin County Environmental Health Department(EHD) has been informed that you are the new owner or <br /> operator of the underground storage tank system (UST) at the above-mentioned facility. Please complete the <br /> following items within 30 days of the close of escrow[CA Health and Safety Code section 25284(b)&(c)]: <br /> v1I. Report 95021: Update all information for all programs at this site including the UST,Hazardous Waste, <br /> Hazardous Materials and Food programs, sign and date.Bring all forms to our accounting office to pay for <br /> transfer fees and the$130/1-ar UST Consulting fee,if necessary. <br /> ✓`l. Create an account with the CA Environmental Reporting System(CERS)by going to <br /> littp://cers.calepa.ca.gov. Complete the enclosed CERS Lead User Authorization Foran and return to the <br /> EHD. Request access to existing facility information in CERS. <br /> 3. Underground Storage Tanks Facility Foran, Tank Forms, and Monitoring Plan must be filled out and <br /> submitted in CERS. <br /> 4. Certification of Financial Responsibility/Letter from Chief Financial Officer: Complete the forms in CERS <br /> and use wet signatures. This document is required to be submitted into CERS annually. <br /> 5. Underground Storage Tank Response Plan: Complete, sign and submit a plan into CERS, <br /> 6. Fill out and submit the Designated UST Operator Statement and submit into CERS. <br /> ✓7 Go to: http/hvtivw.waterboards.ca.2ov/cwplioine/ust/regulatoL-/index.html-rg_s to obtain the current statutes <br /> (Underground Storage of Hazardous Substances)and UST Regulations that you are required to have for your <br /> monitoring and response plan. <br /> ,,-'8 Also enclosed for your information is a brochure of Best Management Practices(BMP's)for Retail Gasoline <br /> Outlets that you can use as part of your BMP's for your facility. <br /> 9 Hazardous Materials Management Plan: Update this information and submit in CERS. Contact EHD Hazrnat <br /> Staff I-iaza Saeed at(209)953-6212 for information on updating this plan. <br /> %/10 Information and instructions for obtaining a permanent California EPA ID number: Complete the application <br /> for a California Hazardous Waste Permanent ID Number and fax it to(916)255-4703. <br />