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09/15/2009 TUE 08: 51 FAX 2094683433 SJC EHD 1@001 <br /> FAX TX REPORT <br /> TRANSMISSION OK <br /> JOB NO. 2884 <br /> DESTINATION ADDRESS 919163731173 <br /> PSWD/SUBADDRESS <br /> DESTINATION ID <br /> ST. TIME 09/15 08:50 <br /> USAGE T 01, 00 <br /> PGS. 2 <br /> RESULT OK <br /> San Joaquin County DIRECTOR <br /> Donna Heran,REHS <br /> Environmental Health Department <br /> ASSISTANT DIRECTOR <br /> 600 East Main Street <br /> Laurie Cotulla,REHS <br /> Stockton, California 95202-3029 <br /> PROGRAM COORDINATORS <br /> Margaret Lagorio,RENS <br /> Website:www sjgov.org1ehd Robert McClellon,REHS <br /> Phone: (209)468-3420 Jeff Carruesco,REHS,RDI <br /> September 14,2009 Fax: (209)464-0138 Kasey Foley,REHS <br /> Dulcinea Webb <br /> Walton Engineering,Inc. <br /> P.O.Box 1025 <br /> West Sacramento,CA 95691 <br /> Fax: (916)373-1173 <br /> Re: Quik Stop#148 205 W.Lockeford St.Lodi,CA 95240 SR0058318 <br /> The permit application to break concrete adjacent to UDC#1/2,excavate as required to expose <br /> the secondary line,replace the clamp on the secondary line,backfill,and install new concrete has <br /> been approved for the above noted address. <br /> Conditions of approval: <br /> 1. Contact the local Fire Department and the San Joaquin Valley Air Pollution Control <br /> District for any applicable permits. <br /> 2. Any changes shall be submitted to the San Joaquin County Environmental Health <br /> Department(EHD)for approval prior to commencing work.All new addenda supercede <br /> the previous ones. <br /> 3. Contact Aris Cacapit,REHS(209)468-3453 to arrange the following inspections(a 48- <br /> hour notice is required): <br /> a. Before backfill,soap test of the 89 line at 5psi for one hour. <br /> b. 1 hour lake test(or equivalent)of UDC#1/2. <br /> c. Since concrete will be broken near UDC#1/2,87&91 line secondary <br /> containment tests(or equivalent)must be performed,once concrete is <br /> poured in accordance with the manufacturer's guidelines.Results must be <br /> received by EHD within seven days of returning the facility to operating <br /> condition. <br /> 4. Qualified service technicians must possess or work under the direct and personal <br /> supervision of an individual physically present at the work site who possesses all of the <br /> following: <br /> a. One of several permissible valid,current contractor's licenses issued by the <br /> 0--+—+— Q+n+-T D---A f--.,t—:--..—A—at.,. J <br />