Laserfiche WebLink
BOARD OF TRUSTEES SAN JOAQUIN CAL HEALTH DISTRICT SERVING <br /> James Culbertson, Pres. , City of LodI <br /> Patricia tt Vannuccl, sec'y.Ant1601 East Hazelton Avenue P. O. Box 2009 San Joaquin county <br /> Earl Pi ette Van Spronsen ' City of Escalon <br /> Earl Pimentel Stockton, California 95201 City of Manteca <br /> Fern l L. Flo 2097466-6781 City of Ripon <br /> Daniel D. <br /> Flores City of Stockton <br /> John D. Mast, M.D. City of Tracy <br /> William J. Wade Jogl Khanna, M.D., M.P.H., District Health Officer San Joaquin County <br /> Mary Anna Love San Joaquin County <br /> UNDERGROUND STORAGE TANK PROGRAM <br /> RE: PERMANENT CLOSURE TANK REMOVAL POLICY* <br /> The following information shall be submitted in duplicate on all Permanent Closure/ <br /> Tank Removal Plans: <br /> 1 . Facility address an telephone number of ownjr (or operator if different than <br /> owner) . y/E9'<S, C ,n�«- %' �,rafy, (� . �i537b Lao9) 53s- io9� <br /> 2. Provide a parcel plot plan showing tank(s) to be removed and tank(s) distance <br /> from all premise septic tanks, buildings, and property lines, and all wells <br /> within 500 ft. <br /> 3. Provide the name of the contractor, including contractor's classificati n, <br /> license number, and certificate of workers+ compensation insurance <br /> 4. Identify the tank(s) size and product(s) currently and/or previously s ored in <br /> each tank. .�i- v Zoocg,P. a „f�, f• d.at /�oG;/"P 3 4.-a�r <br /> 5. Provide the name of laboratory that will collect soil samples and a "Release of 6"e• <br /> Information Authorization" form signed by the facility owner/operator. <br /> 6. Identify the method of disposal of all residual liquid, solids or sludges , <br /> if applicable. WJ p 1,d,4Z <br /> 7. Identify how the tanks will be purged of all flarmalle vapors to preclude <br /> explosion or to levels specified by existing regulations. <br /> 8. Method of disposal or reuse: <br /> a. If the underground storage tank or any part of an underground storage tank <br /> is destined for a specific reuse, identify the future underground storage <br /> tank owner/operator, location of use, and nature of use. <br /> b. If an underground storage tank or any part of an underground storage tank <br /> is destined for reuse as scrap material , identify this reuse to the <br /> San Joaquin Local Health District. <br /> c. If the underground storage tank or any part of the underground storage tank <br /> is to be disposed of, identify and document the method of disposal . <br /> On submission of the above information the closure plan will be approved, approved with <br /> changes, or disapproved. <br /> After approval of plan, contact with this office is required to schedule an inspection <br /> at least 24 hours prior to tank removal/soil sampling. <br /> * The above general policy shall apply to underground storage tanks which have no <br /> known unauthorized release or other unusual circumstances. All other closures <br /> may require additional site specific activities prior to approval of the closure <br /> plan. <br /> 3/86 UGT 10 <br /> NZ <br />