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COMPLIANCE INFO 1985 - 2004
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231760
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COMPLIANCE INFO 1985 - 2004
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Last modified
11/20/2023 11:49:43 AM
Creation date
8/26/2019 9:14:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985 - 2004
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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US/ "t 11:1713 44411-1n LU 5tKV1Lt5 NAut 8J/18 <br />Thursday, Match 29, 200110:03 ^M www1FE3torewcom (209) 941.4559 N ' <br />PUBLIC HEALTH SERVICES,ry <br />SAN IOAQvnv COUNTY <br />ENVIRONMENTAL HEALTH DIVISION -< <br />Ernest M. Fujimoto, M. D., M.P.H., Acting Health Officer <br />304 E. Weber Ave., Third Floor • P: O. Box 366 • Stockton, CA 95M-0381 <br />209/466-3420 <br />TO: INSTALLERS AND OWNERS OF NEW UNDERGROUND STORAGE T <br />Sit Joaquin County Public Heelth servieWEnvltonmental Health Division (PHS -F ID) has established a fallowing yuiddinet <br />to nuist you to the cotapiotion of yow canstmmion project. The =sidelines spocity the caftstruetion &A I rrwnitoriug erlteda <br />necessary to complete our review of your proposed undergrwd storage tants (UST) System. <br />I • 4U8MIT'TALt QZ PLANS <br />INSTALLATION: <br />a. Submit 3 complete sets of drawings illustrating the locations of all exi " and proposed <br />structures, including existit g UST(s), in non-craaabte print to PHS-EHP. Vpon approval, <br />one set will be retained by PHIS-EHD and the other two will be prem <br />b. Include equipment and material specification sheets and manufacturer' roehures describing <br />field testing procedures, operating and rnordtoring systems and listing tubers or oftr <br />evidence of a nationally recognized testing organization approval. All sed leak <br />detection methods and equiptmem must meet the requirements specif' n R 280.40 <br />een <br />and have breviewed y the State Water Resources Control Board tff <br />Fi OS <br />/N C'cr�:eF�r' LG —11-3c. All interstitial monitors must perforin ording to manufacturer's stan lards, and must be <br />tested amually in accordance with secti 2630 (d}, C ifnrnia Code Regulations (CC)t), <br />Title 23 Waters, Division 3, Chapter 1 EV15r/A67 <br />d. ImMe a detailed monitoring and response plan tilr,-,,r <br />dance Tjn 2632 (d) (1)(z), CCR, Title 23 Waters, Division 3, Ciiapoer 1 iiir/TLr - <br />1. The plans shotdd include a cross sectional diagram of the tank and pipsysu= including <br />secondary containment, overflow protectign equipment, and extension all pipes and/or <br />ports from below grade to finish gr;tdc. viVGtltljF� <br />f. Submit a completed "PHS-EHD Service Request" farm and the State' <br />Control Board "Facility Permit (A)" and "Tank Permit (B)" applicatic <br />A,vo r�/VK '!�t 45 toilCom,9-AA 6D -.J',*VC S_ W" <br />SITE MITIGATION: <br />In the event contamination is observed, confirmed or suspected as a rE <br />system it is the responsibility of the owner or operator to submit a wo <br />Site Mitigation Unit prior to initiating any assessment or remediation t <br />delays, a Corrertive Action Plan may be Qubmitted concurrent with ta. <br />installation plans. Address one copy of the Corrective Action Plan to <br />Unit for review. For fimher assistance contact the Site Mitigation Ur <br />A t)iviri j of San Joaquin Co anty He.Atth Can ssevlas <br />u7% <br />It of a leaking UST <br />plan to PHS�EHD <br />ivities. To minimize <br />closure or <br />C Site Mitigation <br />at (209) 468-3450. <br />
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