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06/05/2009 FRI 16:01 FAX 2094683433 SJC EHD 14001 <br />********************* <br />*** FAX TX REPORT *** <br />TRANSMISSION OK <br />JOB NO. 2596 <br />DESTINATION ADDRESS 919254628352 <br />PSWD/SUBADDRESS <br />DESTINATION ID <br />ST. TIME 06/05 15:57 <br />USAGE T 03'57 <br />PGS. 5 <br />RESULT OK <br />San Joaquin County I <br />Department - <br />600 East Main Street <br />IIh.%X <br />Stockton,California95202-3029 <br />Website: www.sjgos • . d <br />Phone:1'468-3420 <br />i" 464-0138 <br />June 5, 2009 <br />Kathleen Henshaw <br />Central Petroleum <br />176 Wyoming Street <br />Pleasanton, CA 94566 <br />Fax: 925-462-8352 <br />DIRECTOR <br />Donna Heran, REHS <br />ASSISTANT DIRECTOR <br />Laurie Cotulla, REHS <br />PROGRAM COORDINATORS <br />Mike Huggins, RENS, RDI <br />Margaret Lagorio, REHS <br />Robert McClellon, REHS <br />Jeff Carruesco, RENS, RDI <br />Kasey Foley, REHS <br />Sent via Fax and Mail <br />Subject: Country Club 76, 2575 Country Club Blvd, Stockton, CA (SR0057401) <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 87 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 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. 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 />