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ENVIROly MENTAL HEALTH DEPARTMENT <br /> "/1-011 <br /> y 0 SAN JOAQUIN COUNTY <br /> ?, Donna K Heran,R.E.H.S. Unit Supervisors <br /> Director 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> '• Al Olsen,R.E.H.S. Stockton, California 95202-2708 Mike Huggins,R.E.H.S.,R.D.I. <br /> ? Douglas W.Wilson,R.E.H.S. <br /> C, F o a P Program Manager Man Fax: (209)464-0138 Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Co R,E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> March 23, 2005 <br /> Attn: Tom Piskor <br /> 3140 Gold Camp Dr. #120 <br /> Rancho Cordova, CA 95670 <br /> Fax: (916) 631-1317 <br /> RE: 7700 Moreland Lane, Stockton - <br /> The San Joaquin County Environmental Health Department (SJCEHD) has received the <br /> addendum request dated March 22, 2005 for underground storage tank removal permit <br /> (SR0039540) at the above referenced location. The addendum request has been approved <br /> with the following conditions: <br /> 1. The conditions in this approval do not supersede any conditions on the original <br /> approval. <br /> 2. In addition, the following documentation shall be submitted within 30 days of the <br /> tank removal date: <br /> (a) Analytical results, mailed directly from laboratory to SJCEHD, including a chain <br /> of custody and quality assurance and quality control (QA& QC). <br /> (b) UST Tracking Record Sheet(s) and/or Tank Hazardous Waste Manifest(s). <br /> (c) Tank Closure Certification Form. <br /> (d) Hazardous Waste Manifests for piping, rinsate, residual fuel, or waste oil receipt. <br /> (e) Tank Certification from Marine Chemist. <br /> (f) Certificate of Destruction from Vasco Road Landfill. <br /> If you have any questions please contact Michelle Le at(209) 468-9847. <br /> Thank you, <br /> 7�)L."/11 4-�Z- 'I <br /> Michelle Le, Senior . .H.S. <br /> San Joaquin County <br /> Environmental Health Department <br /> Page 1 of I <br />