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Pershing Gas, 4445 N. Pershing Ave, Stockton, CA 95207 SR0071731 <br /> 7. See `Sampling Protocol for Routine Tank Removals' and 'Verification Analysis' on page <br /> 6 and 7 of the permit application for required analytical tests and number of samples to <br /> be taken and witnessed by EHD. <br /> S. A copy of the Fire Department permit must be submitted at the time of removal. <br /> 9. In addition, the following information must be submitted within 30 days after the UST <br /> removal date: <br /> a. Analytical results: only results that come directly from a third party California certified <br /> laboratory with affixed chain of custody will be accepted by EHD. <br /> b. UST Tracking Record Sheet and/or Tank and piping Hazardous Waste Manifest. <br /> c. Tank Closure Certification Form (DTSC Form 1249). <br /> d. Hazardous Waste Manifest for rinsate and residual product. <br /> e. Backfill Excavation Certificate. <br /> 10. Permit expires 180 days from the date of approval. If an extension to the expiration date <br /> is required, a written request must be submitted to this office prior to the expiration date. <br /> If you have any further questions, please contact me at (209) 953-7311. <br /> Thank you, <br /> Fatinah Zareef, REHS <br /> Registered Environmental Health Specialist <br /> CC: Nguyen, Huyen Bich <br /> Pershing Gas <br /> 7720 Lorraine Ave, Ste #110 <br /> Stockton, CA 95210 <br /> 2 <br />