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0 0 P. 1 <br /> Communication Result Report ( Apr- 19- 2013 4: 20PM ) <br /> 1) San JoaquinCounty <br /> 2) Environmental Health Department <br /> Date/Time : Apr, 19. 2013 4: 19PM <br /> File Page <br /> No, Mode Destination Pg (s) Result Not Sent <br /> ---------------------------------------------------------------------------------------------------- <br /> 0574 Memory TX 919166469683 P. 2 OK <br /> ---------------------------------------------------------------------------------------------------- <br /> Reason for error <br /> E. 1) Hang up or 1 i n e fail E. 2) Busy <br /> E. 3) No answer E. 4) No facsimile connection <br /> E. 5) Exceeded max. E—mail size <br /> San Joaquin County <br /> Environmental Health Department DIRECTORa <br /> 1868 East Hazelton Avenue <br /> Stockton,California 95205.6232 PROGRAM MORD TORS <br /> Ra»n M.MAon nye <br /> .. sea cmvesm.aeras.nor <br /> websfte:www.stovaripbad w.aarexucaEnens <br /> Phone:(298)466-3420 <br /> Fax:(209)494-0136 <br /> April 10,2013 _ <br /> Glen Kelley <br /> Wayne Perry Inc <br /> 30 Main Avenue,Suite 5 <br /> Sacramento,CA,95836 <br /> Re: Chevron Station 0208117 SR0066925 <br /> 755 South Tracy Blvd,Tracy,95376 <br /> The San Joaquin County Environments]Healh Department(EHI))has completed the review of <br /> the application for a permit to install new Bravo F-Series Split Retrofit Fdtings on Under <br /> Dispenser Containments#34,718,9f10 and 11112 om the underground storage tank(UST) <br /> system at the shove noted address.The permit has been approved with the fdiowi tg <br /> conditions: <br /> 1. Contact the local fire department and the San Joaquin Valley Air Pollution Control <br /> District for any applicable permits and requirements. <br /> 2. Any changes in Information and scope of work nest be submitted to EHD for approval <br /> prior to commencing work.Ail new addenda supersede the pceviats ones. <br /> 3. Contact Thuy Tran at(209)468-6257 to arrange the following Inspection appointments <br /> (a 4"our notes is requited for inspection appointments).Please be aware that <br /> Inspections for emergency work must be scheduled within five days of permit approval. <br /> a. 24-hour hydrostatic test(or equivaleno on UDC#314,7/8,9110 and 11112 sumps. <br /> 4. Secondary containment fasting for the UDC#34,718,9110 and 11112 sufnps are <br /> required six months after installation.Provide 48 fours ratification to the EHD when this <br /> test is scheduled. <br /> S. A"UST Ceddication of Installation8"fodiftcation form shall be submitted by the Owner or <br /> the owner's agent(CCR Section 2635(d))before this upgrade is considered complete by <br /> EHD" <br /> 6. Qualified service tectmicions must possess or work under the dyed and personal <br /> supevision of an individual pfrysfcaNy present at the work site who possesses al of the <br /> following. <br /> a. Ono Of several pornnissibb valid,current contractors Niceness issued by the <br /> Contractors State License Board(maybe issued to the Installation oomparry),or a <br /> Tank Tester's license Issued to the indi idual by the State Water Board,and <br />