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Kasey Foley <br /> San Joaquin County <br /> Environmental Health Department <br /> Certified Unified Program Agency(CUPA) -2- November 16, 2012 <br /> 6. Six (6) sets of Tank Installation plans prepared by Barghausen Consulting Engineers, Inc., <br /> dated October 22, 2012 [four(4)wet-signed sets] <br /> 7. One (1) check issued by Barghausen Consulting Engineers, Inc., in the amount of$1,140, <br /> for the installation of the Fuel Additive tank and equipment, made payable to San Joaquin <br /> County Environmental Health Department <br /> B. One (1)check issued by Barghausen Consulting Engineers, Inc., in the amount of$375, for <br /> the retrofitting of the existing gasoline storage tanks to accommodate the Fuel Additive <br /> Tank, made payable to the San Joaquin County Environmental Health Department <br /> 9. Six(6)sets of the Application for Underground Storage Tank Installation Permit Package: <br /> a. Application for Underground Storage Tank Installation Permit <br /> b. Completed UPCF UST Facility Form (A) <br /> c. Completed UPCF UST Tank Form (B)for the new Fuel Additive UST <br /> d. New Monitoring Plan and Site Plot Plan—Tank 4 <br /> e. Updated Response Plan <br /> f. San Joaquin County Environmental Health Department Service Request Form <br /> (Service Code: 031 / PE: 2303) <br /> g. Fee Sheet ($1,140 for Installation) <br /> 10. Six (6) sets of the Application for Underground Storage Tank Retrofit or Piping Repair Permit <br /> Package: <br /> a. Application for Underground Storage Tank Retrofit or Piping Repair Permit <br /> b. Authorization to Release Information-Not Applicable, soil sampling will not be <br /> conducted <br /> c. Completed UPCF UST Tank Form (B)for existing USTs <br /> d. Updated Monitoring Plan and Site Plot Plan—Tanks 1-3 <br /> e. San Joaquin County Environmental Health Department Service Request Form <br /> (Service Code: 198/PE 2308) <br /> f. Fee Sheet($375.00 for Retrofit) <br /> As previously discussed with you, we have enclosed three (3) additional sets of all submittal documents <br /> for the Installation Permit and the Repair Permit Applications because, the City of Stockton Fire <br /> Prevention will require three (3) sets of County Environmental Health approved plans and permit <br /> documents in order to issue the fire permit. Once your review is complete, please add these additional <br /> packages to the number of stamped approved sets for issuance. <br />