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I <br />1.2/31/2009 THU 08:32 FAX 209_,°LU3433 <br />*** FAX TX REPORT *** <br />********************* <br />TRANSMISSION OK <br />5du r:HU <br />JOB NO. <br />3117 <br />DESTINATION ADDRESS <br />919254628352 <br />PSWD/SUBADDRESS <br />DESTINATION ID <br />ST. TIME <br />12/31 08:24 <br />USAGE T <br />07'39 <br />PGS. <br />9 <br />RESULT <br />OK <br />o PQ' u N• CEnvironmental HealthDIRECTOR <br />?• '= 4 Donna Heran, REHS <br />r 600 East Main Street <br />PROGRAM COORDINATORS <br />_s { Stockton, California 95202-3029 PMargaretLagorio,REHS <br />Robert McClellon, RENS <br />�q •. �;�P Website: www.sjgov.Org/ehd Jeff Carruesco, REHS, RDI <br /><< F o R <br />Phone: (209) 468-3420 Kasey Foley, REHS <br />Fax: (209) 464-0138 <br />December 30, 2009 <br />Kathleen Henshaw Sent via Fax and Mail <br />Central Petroleum <br />176 Wyoming Street <br />Pleasanton, CA 94566 <br />Fax: (925) 462-8352 <br />Subject: 76 Station, 2575 Country Club Blvd, Stockton (SR0059044) <br />The San Joaquin County Environmental Health Department (EHD) has completed the review of <br />the application for a permit to install a Vaporless 99 LD -2000 line leak detector on the 87 product <br />line. The permit has been approved with the following conditions: <br />Conditions of approval: <br />1. Contact the local fire department, local planning or building department and the San <br />Joaquin Valley Air Pollution Control District for any applicable permits. <br />2. Any changes shall be submitted to the San Joaquin County Environmental Health <br />Department (EHD) for approval prior to commencing work. All new addenda supercede <br />the previous ones. <br />3. Contact Garrett Backus (209-468-2986) to arrange the following inspection(s) (a 48-hour <br />notice is required): <br />a. Functionality test of the line leak detector (3 gallon per hour at 10 psi leak test). <br />4. A "Certification of Installation / Modification" form shall be submitted by the owner or <br />the owners' agent [pursuant to (CCR) 2635(d)] before this upgrade will be considered <br />complete by EHD. <br />5. 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 complete list). The component must <br />bear the appropriate mark as required by the independent testing organization. <br />6. Qualified service technicians must possess or work under the direct and personal <br />supervision of an individual physically present at the work site who possesses all of the <br />r-11 ---.:._ _.. <br />