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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> 7. A copy of the submitted "Health and Safety Plan" must be on the jobsite for review. <br /> 8. A copy of the fire department permit must be submitted at the time of removal. <br /> 9. A copy of this approval letter and the EHD permit packet shall be on site during tank excavation <br /> and removal. <br /> 10. 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 /> 11. The following information must be submitted within 30 days after the UST removal 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 Disposition Tracking Record and/or hazardous waste manifest for tank and piping <br /> c. Tank Closure Certification Form (DTSC Form 1249) <br /> d. Hazardous waste manifest for rinsate and residual product <br /> e. Backfill Excavation Certificate (as required by the San Joaquin County or incorporated <br /> City building department) <br /> 12. 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) 468-3420. <br /> Thank you, <br /> Paul Nso, EHS <br /> Environmental Health Specialist <br /> Cc: REMO J CANEPA, 6230 PACIFIC AVE, STOCKTON, CA 95207 <br /> 2of2 <br />