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San Joaquin County <br />Environmental Health Department <br />1868 E Hazelton Avenue <br />Stockton, California 95205 <br />Website: www.sjcehd.com <br />Phone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />DIRECTOR <br />Linda Turkatte. REHS <br />ASSISTANT DIRECTOR <br />Kasey Foley. REHS <br />PROGRAM COORDINATORS <br />Robert McClellon, REHS <br />Jeff Carruesco, REHS, RDI <br />Rodney Estrada, REHS <br />Willy Ng, REHS <br />December 1, 2016 d <br />FILE copy <br />Terry D. Hamilton <br />1502 Westbrook Court <br />Modesto. CA 95358 <br />Re: UST Removal. 8476 E. Kettleman Lane, Lodi, CA 95240 SR0076279 <br />The San Joaquin County Environmental Health Department (EHD) has completed the review of <br />the application for a permit to remove the following underground storage tank (UST) system, <br />including piping and associated appurtenances; at the above noted address: <br />Tank # 39-0520816: 350 gallon unknown petroleum tank <br />The permit has been approved with the following conditions: <br />Contact the local fire department and the San Joaquin Valley Air Pollution Control <br />District for any applicable permits and requirements. <br />Any changes in information and scope of work must be submitted to EHD for approval <br />prior to commencing work. All new addenda supersede the previous ones. <br />3. Contact Fatinah Zareef at (209) 953-7311 to arrange the following inspection <br />appointments (a 48-hour notice is required for inspection appointments). <br />a. Removal of tank and any applicable piping <br />b Verification that tank is cleaned to Title 22 CCR 67383.3(e)(2) standards <br />c. Witness soil and/or water sampling <br />d. Verification of Tank ID number marked on the UST <br />If the removed backfill material and soil is found to be contaminated it must be disposed <br />of at an approved disposal location. Treatment of soil onsite can only be performed <br />under a hazardous waste treatment permit. A work plan and fees must be submitted to <br />the EHD Site Mitigation Unit and the work plan must be approved before initiating any <br />assessment or remediation activities. <br />Inert UST with 30 pounds of dry ice per 1;000 gallon volume after triple rinsing. Be <br />aware, additional testing/monitoring to ensure tanks remain inerted may be required by <br />the Mokelumne Fire District. <br />6. A copy of the submitted "Health and Safety Plan" must be on the jobsite for review. <br />Protecting Your Health -One Inspection at a Time <br />