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0 0 <br /> San JoaquioPca n County <br /> U I N. iDIRECTOR <br /> Envronmental Health Department <br /> Donna Heran, REHS <br /> 1868 East Hazelton Avenue <br /> U): - /ix Stockton, California 95205-6232 PROGRAM COORDINATORS <br /> Robert McClellon,REHS <br /> • Jeff Carruesco,REHS,RDI <br /> Kasey Foley,REHS <br /> Website: www.sjgov.org1ehd <br /> Linda Turkatte,REHS <br /> Phone: (209)468-3420 Rodney Estrada,REHS <br /> September 18,2013 Fax: (209)464-0138 Adrienne Ellsaesser,REHS <br /> Martin Thorpe <br /> Jim Thorpe Oil,Inc. <br /> P.O.Box 357 <br /> Lodi,CA 95241 <br /> RE. Bonnie Gillespie Fruit Stand,17405 N.Hwy 88,Lockeford CA 95237 <br /> The permit application(SR0068017)to remove the underground storage tank system(UST) at the <br /> above referenced facility has been approved with the following conditions: <br /> 1. A copy of the"Site Health& Safety Plan"must be on the job site for review. <br /> 2. A copy of this approved permit shall be on site during the UST excavation and removal. <br /> 3. In addition,the following information must be submitted within 30 days after the UST <br /> removal date: <br /> (a) Analytical results,mailed directly from a CA Certified Laboratory to the Environmental <br /> Health Department(EHD), including a chain of custody and quality assurance and <br /> quality control(QA&QC)documents. <br /> (b) UST Tracking Record Sheet(s)and/or Tank Hazardous Waste Manifest(s). <br /> (c) Tank Closure Certification Form(DTSC Form 1249). <br /> (d) Hazardous Waste Manifests for piping,rinsate,residual fuel,or waste oil receipt. <br /> (e) Submit the backfill excavation certificate as required by San Joaquin County and the <br /> incorporated City Building Departments. This report will be forwarded to the appropriate <br /> agency for their review. <br /> 4. This facility will not be considered for final closure until all of the above documents are <br /> submitted for review to the EHD. <br /> 5. This permit expires 180 days from the approval date. <br /> 6. Schedule the UST closure inspections at least 48 hours in advance with the EHD inspector. <br /> If you have any questions please contact Aris Cacapit at(209)468-3453. <br /> Thank you, <br /> Aris6acapit,REHS <br /> Senior Registered Environmental Health Specialist <br /> Cc: Judy Mazza,Property Executor <br /> 12339 E.Hwy 12 <br /> Lockeford,CA 95237 <br />