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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232523
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/28/2021 3:10:00 PM
Creation date
6/17/2021 10:43:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0232523
PE
2361
FACILITY_ID
FA0003833
FACILITY_NAME
Super Store Industries - Grocery Division
STREET_NUMBER
16888
STREET_NAME
MCKINLEY
STREET_TYPE
Ave
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16888 McKinley Ave
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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auiN GZ SAN J O A Q U I N Environmental Health Department <br /> . .. ...^ c <br /> Q; <br /> COUNTY Jasjit Kang , REHS , Director <br /> �gC1.F P Greotness grows here . Muniappa Naidu, REHS , Assistant Director <br /> PROGRAM COORDINATORS <br /> Robert McClellon , REHS <br /> Jeff Carruesco , REHS , RDI <br /> Willy Ng , REHS <br /> Melissa Nissim , REHS <br /> Steven Shih , REHS <br /> June 10 , 2021 <br /> Deborah Jones <br /> Elite IV Contractors <br /> 2535 Wigwam Drive <br /> Stockton , CA 95205 <br /> Re : Super Store Industries SR0083831 <br /> 16888 McKinley Avenue , Lathrop , CA 95330 <br /> The San Joaquin County Environmental Health Department ( EHD ) has completed the review of the <br /> application for a permit to replace the direct- bury diesel spill container on the underground storage <br /> tank ( UST) system at the above noted address . The permit has been approved with the following <br /> conditions : <br /> 1 . Contact the local fire department and the San Joaquin Valley Air Pollution Control District for <br /> any applicable permits and requirements . <br /> 2 . Any changes in information and scope of work must be submitted to EHD for approval prior to <br /> commencing work . All new addenda supersede the previous ones . <br /> 3 . Provide written notification to ust ( . sigov . orq to arrange the following inspection appointments <br /> ( a 4 & hour notice is required for inspection appointments ) . <br /> a . Corrosion protection : Verify corrosion protection for direct bury spill bucket prior to <br /> backfilling . <br /> b . Spill bucket test : Verify minimum 5 -gallon capacity and pass a one hour hydrostatic test ( or <br /> equivalent) , after concrete is set . Proper drainage must also be verified . <br /> c . Since concrete will be broken near the diesel tank , a secondary containment test must be <br /> performed on the diesel tank once concrete is poured in accordance with the <br /> manufacturer' s guidelines . <br /> Please be aware that the facility cannot receive fuel in the diesel tank prior to the EHD <br /> F <br /> nspection and approval . <br /> 4 . Any individual performing the work of a service technician must meet the following <br /> qualifications : <br /> a . Possess or be employed by a person who possesses one of several permissible valid , <br /> current contractor' s licenses issued by the Contractors State License Board ( may be issued <br /> to the installation company) , or a Tank Tester' s license issued to the individual by the State <br /> Water Board <br /> b . Possess or work under the direct and personal supervision of an individual physically <br /> present at the work site who possesses a valid , current California UST Service Technician <br /> certificate issued by the International Code Council ( ICC ) <br /> c . Possesses a valid , current certificate of training from the manufacturer( s ) of the <br /> component (s) being tested , repaired , or serviced <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 -3420 F 209 464 -0138 1 www , sjgov . org/ehd <br />
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