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06/29/2009 MON 11:12 FAX 2094683433 SJC EHD 0001 <br />June 29, 2009 <br />*** FAX TX REPORT *** <br />********************* <br />TRANSMISSION OK <br />JOB NO. 2662 <br />DESTINATION ADDRESS 919169841117 <br />PSWD/SUBADDRESS <br />DESTINATION ID <br />ST. TIME 06/29 11:08 <br />USAGE T 03'53 <br />PGS. 8 <br />RESULT OK <br />JoaquinSan # <br />Environmental Health Department <br />600 East Main Street <br />Stockton,California95202-3029 <br />Phone: 19 1 <br />� <br />(20 9) 464-0138 <br />Mark Vendeiro <br />MVP Petroleum Engineering Inc. <br />P.O. Box 281 <br />Folsom, CA 95763 <br />Fax: (916) 984-1117 <br />DIRECTOR <br />Donna Heran, REHS <br />ASSISTANT DIRECTOR <br />Laurie Cotulla, REHS <br />PROGRAM COORDINATORS <br />Mike Huggins, RENS, RDI <br />Margaret Lagorio, RENS <br />Robert McClellon, REHS <br />Jeff Carruesco, REHS, RDI <br />Kasey Foley, REHS <br />Sent via Fax and Mail <br />Subject: Country Club 76, 2575 Country Club Blvd, Stockton, CA (SR0057656) <br />The San Joaquin County Environmental Health Department (EHD) has completed the review of <br />the application for a permit to repair the 87 tank piping sump. A Blueline split repair reducer will <br />be installed on a penetration fitting on the inside of the sump. The permit has been approved with <br />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 to arrange the following inspection(s) (a 48 hour notice is <br />required): <br />a. Soap test, if the annular space is placed under pressure following the <br />manufacturer's guidelines. Also, a visual inspection of repair. <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 />