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SANJ O Q O U I N Environmental Health Department <br /> " AY <br /> ARCO 07049 , 800 E KETTLEMAN LN , LODI , CA 95240 SR0080535 <br /> 6 . A copy of the submitted " Health and Safety Plan " must be on the jobsite for review. <br /> 7 . See ' Sampling Protocol for Routine Tank Removals' and 'Verification Analysis ' on page 6 and 7 <br /> of the permit application for required analytical tests and number of samples to be taken and <br /> witnessed by EHD . <br /> 8 . Notify the appropriate Fire Department in advance of this tank removal operation , a copy of the <br /> approved fire permit must be available onsite at the time of inspection . <br /> 9 . In addition , the following information must be submitted within 30 days after the UST removal <br /> date : <br /> a . Analytical results : only results that come directly from a third party California certified <br /> laboratory with affixed chain of custody will be accepted by EHD <br /> b . UST Tracking Record Sheet and/or Tank and Piping Hazardous Waste Manifest <br /> c . Tank Closure Certification Form ( DTSC Form 1249 ) <br /> d . Hazardous Waste Manifest for rinsate and residual product, disposal records for piping , spill <br /> containers and sumps <br /> e . Backfill Excavation Certificate <br /> 10 . Permit expires 180 days from the date of approval . If an extension to the expiration date is <br /> required , a written request must be submitted to this office prior to the expiration date . <br /> If you have any further questions , please contact me at (209 ) 953 -7699 . <br /> Thank you , <br /> Elena Manzo , Lead Sr . REHS <br /> Lead Senior Registered Environmental Health Specialist <br /> cc : BP WEST COAST PRODUCTS LLC , PO BOX 6038 , ARTESIA 90702 <br /> 2 <br />