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TAL HEALTHEPARTMENT <br /> ENVIRON EN <br /> SAN JOAQUI COUNTY unit Supervisors <br /> QP.... e <br /> fhird Floor Carl Borgman,R.E.H. . <br /> Donna K.Heran,R.E.H.S. 304 East Weber AveAvenue, Mike Huggins,R.E.H.S,,R.D.I. <br /> Q, < <br /> Director Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> rec <br /> Al Olsen,R.E.H.S. Margaret Lagorio,R.I;.H.S• <br /> Program Manager Telephone: (209) 468-3420 Robert McClellon,R.E.H.S. <br /> a e i F 6iiii Laurie A.Cotulia,R.E.H.S. Fax'. (204) 464-0138 Mark garcellos,R.E.H.S. <br /> program Manager <br /> April 1, 2004 <br /> Jim Thorpe Oil <br /> P.O. Box 357 <br /> Lodi CA 95241 <br /> Re: City tank removal at 423 N Madison St. in Stockton. <br /> The permit application to remove one underground tank has been approved with the <br /> following conditions. <br /> 1. A local fire permit shall be on site at time of removal. <br /> 2. All laboratory results shall be faxed or mailed <br /> directly <br /> available. <br /> fra able state certified <br /> laboratory from which it was analyzed as soon <br /> 3. An official report stating the protocols and procedures of les rv�illbe required process, <br /> along with the specific details and diagram of taken same <br /> by <br /> your registered geologist within 30 days of tank removal date. <br /> 4. The following documentation shall be submitted within 30 days of the tank <br /> removal date: <br /> a. Analytical results,mailed directly from the laboratory to this EHD , <br /> including a chain of custody and quality assurance and quality control <br /> (QA& QC). <br /> tracking sheet and for Tank Hazardous Waste Manifest. <br /> c. Tank closure�el� ° form <br /> �Trml l <br /> .�- hazardous wa �lest for residual SC wastes,and rnsate. <br /> samples <br /> ll <br /> 5. One sample from underneath the tank and twostockpile (See page i ob required. <br /> All samples will need to be analyzed for unknown fue <br /> permit) <br /> if you have any questions call John Jackson @ (209) 468-3440. <br /> Thank you, <br /> John Jackson REHS <br /> Registered Environmental Health Specialist <br />