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From:Isabel Cuevas Fax:18669996852 To: Fax:(209)468-3433 Page:5 of 6 0111912021 4:13 PM <br /> Environmental Health <br /> DepartmentC©© 0uuOU <br /> N Linda Turkatte, REHS, DirectorAv. --t:;- ,COUNT' <br /> V-Sair 4, <br /> s�; va f sr tat I tS i ti�vs here.: Kaley Foley,REHS,Assistant Director <br /> PROGRAM COORDINATORS <br /> Robert McClellon,REHS <br /> Jeff Carruesco,REHS,Rol <br /> Michael Kith,REHS <br /> Willy Ng,REHS <br /> Muniappa Naidu.REHS <br /> 3. NO PERMIT REQUIRED" (EHD Notification required:: <br /> See the mandatory conditions below: <br /> 1. Shear valves connected to Bravo float&chain devices <br /> 2. Bravo float&chain repairs <br /> 3. Turbine or dispenser relay switch repair/replacement used for positive shutdown <br /> 4. Cold start or monitoring panel ("like for like") replacement <br /> 5. Spill container in tank top sump <br /> 6. Liquid sensor("like for like") <br /> 7. Leak detector("like for like") <br /> Dispenser replacement/repair without structural damage, when no conversion frames are required <br /> "9. Dispenser deflector plates inaliation, <br /> 10. Breaking concrete over tank system (tanks, piping,dispensers,etc.)for aesthetic concrete or asphalt <br /> work only,as long as secondary containment testing is done immediately following concrete work and a <br /> test result submitted to the EHD within 30 days of testing, <br /> 11. Monitoring panel circuit board ("like for like")or software upgrade, <br /> All repaired components must be tested within 30 days of repairs and test results must be submitted to the <br /> EHD within 30 days of testing.A 48-hour notification is required to be submitted to the EHD(via <br /> ust@sicehd,com prior to testing). <br /> "CONDITIONS FOR EHD NOTIFICATION ONLY REQUIRED REPAIRS <br /> (A full EHD permit including the"Failure to Obtain a Permit"penalty will be required if these <br /> conditions are not met).This work requires EHD's acknowledgment of receipt prior to <br /> implementation: <br /> Notify the EFlb 48-hours in advance`of any repair im 16'� entatian by emailing ust sicehd.corri'' <br /> or faxing your notification and a scope of work to(209) 468-3433.An EHD inspector may stop by <br /> the facility to inspect the repair and verify technician's certifications. <br /> 2. The service company must install the part and test the system (according to the manufacturer's <br /> installation instructions)to verify its installation and functionality. <br /> ;31 The service company must provide the following documentation to,the tank owner/operator„for <br /> inspector to review during annual UST inspection. <br /> a. Description of part(s) installed{parts list, cut sheets, etc.) <br /> b Name & UST ICC#of Service technician doing the work,(ICC,,manufacturer certification <br /> proof„etc.,). , <br /> c. Testing documentation to verify installation and functionality of the repair <br /> PAGE 13 Apr11201s <br />