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a <br /> ua of rltuarE ez <br /> SAN JOAQUIN LOCAL HEALTH DISTp <br /> �na• CUlhutaon, P a. ICT <br /> tEf1V1H0 <br /> Iriola E. Vannuool, Wr. � City of Lodi <br /> fnmon•n. v. <br /> Eut Plm•n,.l n eproash 1601 Bast Hazelton Avenue, P. O. Box 2009 "nJopulnCounty <br /> Stockton, Callfomla952ol CltyaEaouon <br /> P«n euot»• I 1 <br /> oanl•I I.. Pion8-0 <br /> . �''�3 . 209/46181 city of Manisa City of 5lpon <br /> John p• Magi, M,0. • j3 011yetstoomon <br /> ,William J. Wada <br /> Mary Anna Lov <br /> Jogl Khan M.D„ M;P.H.,platrW HMlth offlgw c4Mof TrqoY <br /> M" <br /> San Jo"uln County. <br /> $an J0"'An County <br /> UNDERGROUND STORAGE TANK PROGRAM <br /> RE: PERMA EN� CLOS RE TANK 'REMOVAL POLICY* <br /> j <br /> The follows g�lans : <br /> info tion shall be submitted in duplicateion all Permanent Closure <br /> Tank Remove / <br /> I . owner) . i tocsin address and telephone number of owner (or operator if different than <br /> 2. Provide aparcel Plot plan showing tank(s) to be remo+ ed and tank(SD distance <br /> from a1 premise septic tanks , buildin <br /> within 00 ft. gs, and property lines , and all wells <br /> 3., Provide th name Of the contractor, including contractor's classification, <br /> license nu ber, nd certificate of workers compensati 'n ins+uran <br /> 4• Identif tie tan (s) size and r Ce. <br /> 5� each to k. P oduct(s} Currently an /or previously stored in <br /> Provide th name of laboratory that will collect soil Isample5 and a : "Release of <br /> Informs io Auth rization" form signed by the facility owner/operatb r. <br /> 6• Identif the met od of disposal of all residual liquid, solids or sludges, <br /> if aPPlica le. <br /> 7 Identif h w the tanks will be purged of all flalmlableI <br /> explosi r to levels specified by existin r vapors to preclude <br /> S. Method of ispos 1 or reuse: 9 egulatiohs, <br /> a. If d t e underground storage tank or any part of an .nderground storage tank <br /> is s ined f r a specific reuse, identify the future underground storage <br /> tank o ner/o rotor, location of use, and nature of use, <br /> b• if a gnderg and storage tank or an <br /> is d sTiined f r reuse as sera y Part of an underground storage tank <br /> San o quirt L cal Health 0istricmatterial , identify this reuse to she <br /> C. If t e,underg ound storage tank or an <br /> is t be disp sed of id ntif y Part of thehde d storage tank <br /> _ , e y and document the «>e�hod offdisposal . <br /> On submissio 0I the bove information the closure plan will be approved , approved with <br /> changes , or ispprov d. <br /> After approv 1 �f pia , contact with this office is required to schedule' an inspection <br /> at least 24 ouhs pri r to tank removal/soil sampling. <br /> p 9 <br /> i <br /> - The above g nrel Policy <br /> known unaut o izedrieleasehalorlotheryunusuadecirccumstancces. Allto unround storagekothercclohave <br /> sureso <br /> may require additional site specific activities prior to ¢pproval of the Closure <br /> plan. <br />