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COMPLIANCE INFO_2023
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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PR0506724
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
1/18/2024 11:07:18 AM
Creation date
1/27/2023 4:56:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0506724
PE
2361
FACILITY_ID
FA0007594
FACILITY_NAME
WINE COUNTRY STATION/7-ELEVEN
STREET_NUMBER
1111
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04931056
CURRENT_STATUS
01
SITE_LOCATION
1111 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\lsauers1
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EHD - Public
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o�PI`QUrNc SAN JOAQU I N Environmental Health Department <br /> " L COUNTY Jasjit Kang , REHS , Director <br /> � P PP <br /> Greatness grows here . Munia a Naidu REHS , Assistant Director <br /> q �_rFoa�/ <br /> PROGRAM COORDINATORS <br /> Jeff Carruesco , REHS , RDI <br /> Willy Ng , REHS <br /> Steven Shih , REHS <br /> Elena Manzo , REHS <br /> Natalia Subbotnikova , REHS <br /> August 30 , 2023 <br /> Carrie Miller <br /> Elite IV Contractors <br /> 2535 Wigwam Dr <br /> Stockton , CA 95205 <br /> carrie@eliteiv . com <br /> Re : Wine Country Station/7 - Eleven SR0087100 <br /> 1111 E . Kettleman Ln , Lodi , CA 95240 <br /> The San Joaquin County Environmental Health Department ( EHD) has completed the review of the <br /> application for a permit to do the following on the underground storage tank ( UST) system at the above <br /> noted address : <br /> • replace the direct- bury diesel spill container <br /> The permit has been approved with the following 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 ustsiQov . org to arrange the following inspection appointments <br /> ( a 48- 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 /> inspection 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 /> 1868 E . Hazelton Avenue I Stockton , California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www. sjgov . org/ehd <br />
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