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ENVIROA4ENTAL HEALTH%EPARTMENT <br />a?� Donna K. Heran, R.E.H.S. <br />Director <br />Laurie A. Cotulla, R.E.H.S. <br />Assistant Director <br />September 6, 2006 <br />Warren Hammack <br />D & S Dragline <br />540 F St. <br />Los Banos, CA 93635 <br />Fax: (209) 826-8699 <br />Re: Country Mart <br />34243 S. Chrisman Rd. <br />Tracy, CA 95376 <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Website: www.sjgov.org/ehd/ <br />Program Coordinators <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Jeff Carruesco, R.E.H.S. <br />Kasey Foley, R.E.H.S. <br />Your permit application to cut concrete and expose the product lines for the repair of a vapor <br />return line at the above referenced location has been approved with the following conditions: <br />1. Contact the local Fire Department and San Joaquin Valley Air Pollution Control District <br />for applicable permits. <br />2. At least one person who holds the International Code Council UST <br />Installer/Retrofitter certification and is manufacturer certified for all equipment used <br />must be onsite when work is performed. <br />3. Each person installing or testing any component must hold a certificate of training from <br />the manufacturer of that component. <br />4. A complete description of work performed must be submitted prior to the conclusion of <br />work, <br />5. A line integrity test on the primary piping of all exposed lines must be performed by a <br />third party certified technician and results received by this office within 7 days of <br />completion of work. <br />6. If concrete is broken near the underground storage tank a tank integrity test must be <br />performed by a third party certified technician and results received by this office within 7 <br />days of completion of work. <br />7. EHD must witness a 60 -minute pressure and soap test on all repaired/replaced piping <br />prior to backfill. <br />8. This permit expires 90 days from the approval date. <br />9. Complete and submit a copy of a UST Installation Certificate of Compliance (Former <br />Form C) no later than 30 days after work is completed. <br />Contact Willy Ng with any questions at (209) 468-3448. <br />Thank you, <br />Willy Ng, S <br />Senior Registered Environmental Health Specialist <br />