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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Unit Supervisors <br /> Donna K.Heran,RE.H.S. Carl Bor an,R.E.H.S. <br /> a. Director 304 East Weber Avenue, Third Floor <br /> Al Olsen,RE.H.S. Stockton, California 95202-2708 Mike Huggins,R.E.H.S.,R.D.I. <br /> ouglas W.Wilson,R.E.H.S. <br /> • 4C/FORN�P• Program Manager Telephone: (209) 468-3420 DMargaret Lagorio,R.E.H.S. <br /> Laurie A.Corolla,RE.H.S. <br /> Program Manager Fax: (209) 464-0138 Robert McClellan,R.E.H.S. <br /> Mark Barcellos,R.E.H.S. <br /> March 29, 2005 <br /> Attn: Sandy Edwards <br /> USA Gas Corporation <br /> 905 Rancho Conejo Blvd. <br /> Newbury Park, CA 91320 <br /> Fax: (559) 585-0449 <br /> RE: 2500 W.Lodi Avenue,Lodi—USA Gas#65- SR0041634 <br /> The San Joaquin County Environmental Health Department(SJCEHD)has received the permit to replace <br /> existing three CNI EVR approved spill buckets at the above referenced location. The permit has been <br /> approved with the following conditions: <br /> 1. Contact the local fire department, and the San Joaquin Valley Air Pollution Control District for <br /> applicable permits and requirements. <br /> 2. Any changes in information or scope of work must be submitted to SJCEHD prior to <br /> commencing work. <br /> 3. At least one person who holds the International Code Council"UST Installer/Retrofitter" <br /> certification must be onsite AT ALL TIMES when work is performed. <br /> 4. A "Certificate of Compliance for Underground Storage Tank Installation Form C" shall be <br /> submitted by the owner or the owners'agent [pursuant to California Code of Regulation(CCR) <br /> 2635(d)] before this upgrade will be considered complete by SJCEHD. <br /> 5. Contact Dennis Catanvag at(209)468-3459 to arrange the following inspection appointments; a <br /> 48-hour notice for inspection appointments is required. <br /> a. Corrosion protection: prior to backfilling around the spill buckets, corrosion protection of <br /> the risers must be verified. <br /> b. Overfill prevention: overfill prevention system in compliance with CCR 2635 (b)(2)must be <br /> verified. <br /> c. Spill Bucket: after concrete was poured, spill bucket with minimum of 5 gallon capacity and <br /> a 30-minute lake test in compliance with CCR2635(b)(1)must be verified. <br /> d. Third party tank integrity tests must be performed once concrete is poured,prior to the <br /> contractor signing off of the jobsite. The test results must be submitted to SJCEHD within 7 <br /> days of completing this project. <br /> 6. Permit expires 90 days from the approval date. Note: if an extension to the expiration date <br /> is required, a written request must be received by this office prior to the expiration date. <br /> Thank you, <br /> DGAs C ag,tiR.E.H.S. <br /> San Joaquin Coun <br /> Environmental Health Department <br /> Page I of 1 <br />