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San Joaquin County <br /> .� Environmental Health Department DIRECTOR <br /> ?• = -f o Donna Heran,REHS <br /> r.' 1868 East Hazelton Avenue <br /> toi: Ij / � Stockton, California 95205-6232 PROGRAMREHSCOORDINATORS <br /> lalL1�_ T Robert McClellon,RENS <br /> Jeff Carruesco,REHS, RDI <br /> • cq..:: . .�:° Website: www.sjgov.org/ehd Kasey Foley,REHS <br /> C i F O R Linda Turkatte,REHS <br /> Phone: (209)468-3420 Rodney Estrada,REHS <br /> Fax: (209) 464-0138 Adrienne Ellsaesser, REHS <br /> January 27, 2014 <br /> Zafar Khan <br /> 824 E Yosemite Ave <br /> Manteca, CA <br /> RE: New Owner Consultation: 824 E Yosemite, Avenue, Manteca, CA SR0068900 <br /> The San Joaquin County Environmental Health Department has been informed that you are the new owner or <br /> operator of the underground storage tanks (UST's) at the above-mentioned facility. Please complete the <br /> following items within 30 days of the close of escrow[CA Health and Safety Code section 25284 (b) & (c)]: <br /> 1. Underground Storage Tanks — Facility Form — Provide all current information, sign and date at the <br /> bottom. <br /> 2. Underground Storage Tanks —Tank Forms — Provide all current information, sign and date the bottom <br /> of each form. <br /> 3. Certification of Financial Responsibility/Letter from Chief Financial Officer: Complete the form provided, <br /> and make a copy for our records. This document is required to be submitted to this office annually. <br /> 4. Underground Storage Tank Monitoring and Response Plans: Complete and submit a copy for approval. <br /> An approved copy will be returned. Retain an approved copy of these plans onsite for future reference <br /> by employees. <br /> 5. Report #5021: Update all information for all programs at this site including the UST and Hazardous <br /> Waste programs, sign and date. Bring with all other forms to our accounting office to pay for transfer <br /> fees and the$125/hr UST Consulting fee, if necessary. <br /> 6. If you are the owner, you must submit a notification form identifying the "Designated UST Operator" for <br /> each facility owned. A notification form is enclosed for your use. <br /> 7. Go to: http'//www waterboards ca ciov/cwphome/ust/regulatory/index.html - rgs to obtain the current <br /> statutes (Underground Storage of Hazardous Substances) and UST Regulations that you are required <br /> to have for your monitoring and response plan. <br /> 8. Also enclosed for your information is a brochure of Best Management Practices (BMP's) for Retail <br /> Gasoline Outlets that you can use as part of your BMP's for your facility. <br /> 9. Create an account with the CA Environmental Reporting System (CERS) by going to <br /> http://cers.calepa.ca.gov Complete the enclosed CERS Lead User Authorization Form, ensure that all <br /> the required annual uploads are completed in a timely manner. <br /> 10. Hazardous Materials Management Plan: Contact EHD Hazmat Staff at (209) 468-3420 for information <br /> on updating this plan. <br /> 11. Information and instructions for obtaining a permanent California EPA ID number (enclosed hereto): <br /> Complete the application for a California Hazardous Waste Permanent ID Number and fax it to (916) <br /> 255-4703. <br /> 12. Board of Equalization UST Storage Fee Account Number — Call (916) 322-9669 to obtain the current <br /> number for your facility. <br /> 13. San Joaquin Valley Air Pollution Control District—Call (209) 557-6400 to obtain an operating permit for <br /> the UST vapor recovery system <br /> 14. Food facility operations—Call Melissa Nissim (209) 483-4073 for operating permit for opening the retail <br /> food facility. A consultation appointment may be needed. <br /> 15. Go to: http.,IAlvww.sicehd.comIProgramsIUnitllllunitiii.htm for additional information, updates, regulations <br /> and forms. The most current versions of all forms must be submitted. <br /> 1 <br />