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Costco Gasoline Facility No. 658, 3250 West Grant Line Road, Tracy, CA SR#0073889 <br /> 5. Individuals installing underground storage tank system components must possess or <br /> work under the direct and personal supervision of an individual physically present at the <br /> work site who possesses all of the following: <br /> a. A valid, current contractor's license issued by the Contractors State License <br /> Board, and <br /> b. A valid, current UST Installation/Retrofitting certificate issued by the International <br /> Code Council (ICC), and <br /> c. A valid, current certificate of training from the manufacturer(s) of the <br /> component(s) being installed. <br /> 6. Log into the California Environmental Reporting System (CERS), complete and submit a <br /> "UST Certification of Installation/Modification"form for the 91 product under dispenser <br /> containment#5/6 replacement shear valve within 30 days. <br /> 7. All components must be certified by an independent testing organization and labeled as <br /> required by the organization (UL, ULC, ANSI, API, ASTM, etc.). See California Code of <br /> Regulations (CCR)Title 23, Chapter 16, Table B for a complete list. <br /> 8. 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) 469-9852. <br /> Thank you, <br /> `-f/iG�G� �e <br /> Vicki McCartney, REHS <br /> Senior Registered Environmenta Health Specialist <br /> c: Lisa Hurley, 999 Lake Drive, Issaquah, WA 98027 <br /> FILE COPY <br /> 2 <br />