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Cherokee Lane Service Station <br /> 900 S Cherokee Ln, Lodi 95240 <br /> SR0059336 <br /> 5. Qualified installers must possess or work under the direct and personal supervision of an <br /> individual physically present at the work site who possesses all of the following: <br /> a. A valid, current contractor's license issued by the Contractors State License Board, <br /> and <br /> b. A valid, current certificate of training from the manufacturer(s) of the component(s) <br /> being installed, and <br /> c. A valid, current UST Installation/Retrofitting certificate issued by the International <br /> Code Council (ICC). <br /> 6. Update and submit a copy of the "UST Monitoring Plan" for EHD approval. An approved <br /> copy will be returned for on site records. <br /> 7. A "UST Certification of Installation/Modification" form shall be submitted by the owner or <br /> the owner's agent (CCR Section 2635(d)) before this upgrade is considered complete by <br /> EHD. <br /> 8. 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 /> 9. 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 /> I will be available for inspection at 9:00 AM on Friday, February 19, 2010 for the SR 0056688: <br /> ISD/ EVR II upgrade and inspect newly installed Gilbarco dispenser with the Bravo Conversion <br /> frames. I will be inspecting: <br /> a. the Bravo frame CONY-132000 will adapt to the facility's existing under dispenser <br /> containment. Please remove both sides the dispenser's panel on all four gas fuel <br /> dispensers so I would be able to view dispenser conversion frame: the island/ concrete <br /> Anchor Mount, Dispenser Anchor Mount and the water splash lip. <br /> b. the functionality of the monitoring system by testing all leak detection sensors <br /> connected to the monitoring panel. <br /> We will also verify the measurements for SR 0059336 of the newly installed drop tube OPW 71 <br /> SO on the east 87 Octane tank the same day. <br /> If you have any further questions, please contact me at (209) 468-8257 or email to <br /> tttran@sjcehd.com. <br /> Thank you, <br /> Thuy Tran, REHS <br /> Registered Environmental Health Specialist <br /> 2 <br />