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PUBLIC. HEALTH SEIMCES <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Karen Furst, M.D., M.P.H., Health Officer �P <br /> 304 East Weber Avenue,Third Floor • Stockton, CA 95202 <br /> 209/468-3420 <br /> CONDITIONS OF APPROVAL <br /> Site information: Flag City Chevron, 6421 Capitol Ave, Lodi, Ca. <br /> Your application for permit to install under-dispenser containment and sensor has been <br /> approved with the following conditions: <br /> 1. Contact fire department for permit. <br /> 2. A soil sample is to be collected and analyzed as indicated in the attached minimum <br /> verification laboratory analysis. Analytical result shall be submitted to <br /> Environmental Health Division (EHD). <br /> 3. Submit sampler and laboratory information to EHD for approval prior to commencing <br /> work and/or scheduling any inspection appointment. <br /> 4. Contact EHD for the following inspections: <br /> a. Soil sampling below each dispenser. <br /> b. Pressure test on primary and secondary lines. <br /> c. 24-hour lake test. <br /> d. Final inspection. <br /> 5. All lines shall be precision-tested by a licensed tank tester. Result is to be submitted <br /> to EHD prior to placing the tank system in service. <br /> 6. Submit As-Built plan to EHD prior to scheduling final inspection. <br /> 7. If automatic pump shutdown is provided it must satisfy all conditions listed in section <br /> 2636(g) of California Code of Regulation. <br /> 8. Any changes in information provided to EHD must be submitted to EHD for approval <br /> prior to commencing work. <br /> 9. Depending on the outcome of the field inspection, permit(s) to install and to remove <br /> piping may be required. <br /> 10. Permit expires on 10/2/01. <br /> If you shall have any questions please contact me at 209-468-3444. <br /> _00�A/ <br /> L <br /> � V % <br /> ichael Kith, Sr. REHS <br /> San Joaquin County <br /> Environmental Health Division <br /> A Division of San Joaquin County Health Care Services <br />