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FILE COPY <br /> San Joaquin County <br /> Environmental Health Department DIRECTOR <br /> Donna Heran, REHS <br /> 600 East Main Street <br /> U)' X Stockton, California 95202-3029 PROGRAM COORDINATORS <br /> �7�f( Robert McClellon, REHS <br /> Jeff Carruesco,REHS, RDI <br /> L^q •. ..•ti�v Website: www.sjgov.org/ehd Kasey Foley, REHS <br /> FOR Phone: (209) 468-3420 LindaTurkatte,REHS <br /> Fax: (209) 464-0138 <br /> March 21, 2011 <br /> Jim Thorpe Oil Inc. <br /> P.O.Box 357 <br /> Lodi, CA 95241 <br /> SUBJECT: City of Lodi Municipal Service Center 1331 S.Ham Lane Lodi, CA 95240 <br /> The permit application(SR0062153)to remove one underground storage tank(UST)has been <br /> reviewed by the Environmental Health Department. The UST is a 2,000 gallon used oil tank.The <br /> permit to remove the UST,associated piping, and other appurtenances from the above referenced <br /> residence has been approved with the following conditions: <br /> 1. If the backfill material and soil is found to be contaminated it must be disposed of at an <br /> approved disposal location.Treatment of soil onsite can only be performed under a hazardous <br /> waste treatment permit. <br /> 2. A copy of the"Site Health& Safety Plan"must be on the jobsite for review. <br /> 3. See pages 6& 7 of the permit application for required analytical tests and number of samples <br /> to be taken and witnessed by this department. Use Form EH 23 046, Revised 07/22/10. <br /> 4. A copy of the fire department permit must be submitted at the time of removal. <br /> 5. The following information must be submitted within 30 days after the UST removal date: <br /> (a) Only analytical results that come directly from a third party California certified <br /> laboratory with affixed chain of custody will be accepted by this office. <br /> • (b) UST Tracking Record Sheet and/or Tank Hazardous Waste Manifest. <br /> (c) Tank Closure Certification Form(DTSC form 1249). <br /> (d) Hazardous Waste Manifest for piping,rinsate,residual fuel, or waste oil receipt. <br /> 6. This permit expires 180 days after date of approval. <br /> 7. The facility owner will be billed for previous years' facility and tank fees. <br /> 8. The facility owner will be billed for additional EHD staff time expended beyond 3 hour <br /> minimum permit payment per tank. <br /> 9. Schedule the excavating, sampling, and removal inspection at least 48 hours in advance. <br /> If you have any questions please contact Aris Cacapit at(209)468-3453. <br /> Thank you, 0� — <br /> A� <br /> Axis Cacapit, REHS <br /> Senior Registered Environmental Health Specialist <br />