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July 21, 2009 <br />M <br />San Joaquin • <br />71 - <br />Environmental Health Department <br />600 East Main Street <br />• California 95202-3029 <br />Kathleen Henshaw <br />Central Petroleum <br />176 Wyoming Street <br />Pleasanton, CA 94566 <br />Fax: 925462-8352 <br />V11 ww.sjsol'owmt' <br />• (209) 468-3420 <br />Fax: (209) 464-0138 <br />DIRECTOR <br />Donna Heran, REHS <br />ASSISTANT DIRECTOR <br />Laurie Cotulla, REHS <br />PROGRAM COORDINATORS <br />Mike Huggins, REHS, RDI <br />Margaret Lagorio, REHS <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 (SR0057771) <br />The San Joaquin County Environmental Health Department (EHD) has completed the review of <br />the application for a permit to replace a Veeder Root 420 liquid sensor in the 91 tank annular <br />space. 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 supersede <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. Inspection of the functionality of the 420 liquid sensor. <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 />following: <br />a. One of several permissible valid, current contractor's licenses issued by the <br />Contractors State License Board (may be issued to the installation company), and <br />b. All valid, current California UST certificates issued by the International Code <br />Council (ICC), that are applicable to the work being performed, and <br />c. A valid, current certificate of training from the manufacturer(s) of the <br />component(s) being tested, repaired, or serviced; <br />and <br />UMII� <br />