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ENVIRONMENTAL HEALT"EPARTMENT <br /> "gU'" ° SAN JOAQUIN COUNTY <br /> Donna K.Heran,R.E.H.S. Unit Supervisors <br /> < o1YeC;or 304 East Weber Avenue, Third Floor cart Borgman,R.E.H.S. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Mike Huggins,R.E.H.S.,R.D.I. <br /> 4•• od'... ..�(.i� Douglas Wilson, <br /> S. <br /> Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Corolla,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Robert Ba clellon,R.E.H. <br /> S. <br /> Mark arcellos,R.E.H.S.. <br /> December 5, 2002 <br /> Liberty Rural Fire District <br /> 24124 N Bruella Rd. <br /> Acampo, CA 95220 <br /> Re: 24124 N Bruella Rd, Acampo CA <br /> The permit application to remove two underground storage tanks from the above <br /> referenced facility has been approved with the following conditions: <br /> 1. See pages 7 & 8 of the permit application for required analytical tests. <br /> 2. A copy of the fire department permit must be submitted at the time of removal. <br /> 3. Schedule removal appointment 48 hours in advance. <br /> 4. hi addition, the following information must be submitted within 30 days of the removal <br /> date: <br /> (a) Analytical results, mailed from the lab <br /> (b) UST Tracking Record Sheet and Tank Hazardous Waste Manifest <br /> (c) Tank Closure Certification Form <br /> (d) Hazardous Waste Manifest for piping, rinsate, residual fuel, or waste oil receipt if <br /> applicable <br /> (e) Submit the backfill excavation certificate as required by San Joaquin County tit A f fl)LAW&) <br /> 5. This permit expires on December 31, 2002. <br /> If you have any questions please contact Ray von Fliie at(209) 468-9848. <br /> Thank you, <br /> Ray von Fliie, E.H.S. <br /> Environmental Health Specialist <br />